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Application to Repurchase after Forfeiture <br />have timely paid the taxes if not for the oversight in delivery of the notice to the prose'. persons. If TO: <br />is not allowed to repurchase, it will have no way to recover the amounts owed on its mortgage." <br />Applicant Name: TGF /1/24-7'4:0n/,44., ,e3A/V/< <br />Applicant's relationship to the property: <br />Mailing Address <br />City, State, Zip <br />Signature <br />8n/ /12 Que r rE A -VE: oo/-O�-d <br />/12 i n//✓C—/4(-''Op-ir <br />fI'� 9 <br />Date <br />41 A/ s ss'oa <br />Phone: 6/A- ^ cf-0 <br />E-mail Address: 1Z )O iC& e y B' ref 8,4i✓ /< • a o m <br />id <br />tt/ <br />The foregoing instrument was acknowledged before me this ' dayof <br />g g tl <br />2,0(I , by �C�?4'\-4Ik �l L�f t C--\.) <br />NOTARY STAMP/SEAL <br />CATHERINE ANN BARRY <br />WWI Pubtic <br />Mimosas <br />3i1 40,,414'.!tl .541, i 1.4 <br />51) - <br />ember <br />Given under my hand and official seal of this <br />I (r� aC <br />ay of r'S,'e12vvt :r , 2� (Lf <br />l iV�*.-JZ__ 1,v <br />Signature of Notary Public <br />Notary Commissioner Expires <br />Return application to: Department of Property Records and Revenue, Attn: Tax Forfeited Lands Section, <br />PO l3ox 64097, St. Paul, MN 55164-0097 <br />4 <br />