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1 Rev 4/21 <br />Received:Assessment Year:2022 <br />Worksheet#Payable Year:2023 <br />State <br />MN <br />State Zip State Zip <br />MN 55042 <br />School District #TAG <br />Applicant's Statement of Facts: <br />Applicant's Request: <br />Date: <br />S-26331400-23 1,476.83 <br />Note: Must include City/Township Resolution for reductions on assessments <br />Please remove the current assesment payable in 2023 <br />NOTE: M.S. §609.41, “Whoever, in making any statement, oral or written, which is required or authorized by law to <br />be made as a basis of imposing, reducing, or abating any tax or assessment, intentionally makes any statement as to <br />any material matter which the maker of the statement knows is false may be sentenced, unless otherwise provided by <br />law, to imprisonment for not more than one year or to payment of a fine of not more than $3,000, or both." <br />Applicant's Signature: <br />Special Assessment Project Number(s) <br />2,072.93 <br />City or Township <br />Property Address (if different from mailing address) <br />3756 Kindred Ct N <br />S-26601500-23 <br />Property ID Number <br />14.029.21.21.0014 <br />Certified Amount Requeted to be Abated (amount appearing on property tax statement) <br />City City <br />Lake Elmo <br />WASHINGTON COUNTY TAXATION DIVISION <br />APPLICATION FOR ABATEMENT - SPECIAL ASSESSMENTS (only) <br />APPLICANT <br />Submitter Phone Email <br />Property connected to water and sealed well making them grant eligible. <br />Kristina Handt 651-747-3905 <br />Owner's Mailing Address <br />City <br />Lake Elmo <br />Address <br />khandt@lakeelmo.org <br />Owner's Name(s) <br />David and Susan Bestler <br />3880 Laverne Avenue N <br />Zip <br />55042 <br />PROPERTY INFORMATION