HomeMy WebLinkAboutItem 7 - Copy of Copy of SA Abatement General form_2013 2014_Hauer_5787 Highlands Ct N1 Rev 5/12
Received:Assessment Year:2013
Worksheet#Payable Year:2014
State Zip State Zip
MN 55042
School District #TAG
834
Original:
Revised:
Applicant's Statement of Facts:
Applicant's Request:
Date:
WASHINGTON COUNTY ASSESSMENT DIVISION
APPLICATION FOR ABATEMENT - GENERAL FORM
CLASSIFICATION / DISASTER CREDIT / SPECIAL ASSESSMENTS
APPLICANT
Owner's Name (please print or type)Soc. Sec. / Fed ID Phone Cell
Justin Hauer
Owner's Name Soc. Sec. / Fed ID Phone Cell
Owner's Name Soc. Sec. / Fed ID Phone Cell
Owner's Mailing Address Property Address (if different from mailing address)
Legal Description of Property City or Township
5787 Highlands Ct N
City City
Lake Elmo
DESCRIPTION OF PROPERTY
Property ID Number Linked Group Number
04.029.21.23.0010
Lake Elmo
ASSESSOR'S ESTIMATED MARKET VALUE
Land EMV Improvement EMV Total Class
0
Land EMV Improvement EMV Total Class
0
The City of Lake Elmo assessed this parcel for the 2012 street project assessment in error.
Please remove this assessment from this parcel as payment was received in 2013 when the house was sold.
the taxpayer got the tax statement in March 2014.
Abate the special assessment and interest for Pay 2014 in the amount of $327.00. ($300 prin $27 int)
Applicant's Signature:
NOTE: M.S. §609.41, “Whoever, in making any statement, oral or written, which is required or authorized by law to be made as a basis of
imposing, reducing, or abating any tax or assessment, intentionally makes any statement (as to any material matter whi
Note: Must include city/Township Resolution for reductions on assessments
Note: Must include Fire report for Local Option Disaster Credit
2 Rev 5/12
ORIGINAL Class EMVL EMVI EMV TMV Tax Capacity
Taxes
Credits SPASS Total Tax
LNTC
Val Grp - 1 - TIF
Val Grp - 2 - FD
Val Grp - 3 - STATE
Val Grp - 4 - RMV
Val Grp - 5 - PWRL CR
TOTAL - - - - - AG CR
HST CR
TOTAL - -
REVISED Class EMVL EMVI EMV TMV Tax Capacity
Taxes
Credits SPASS Total Tax
LNTC
Val Grp - 1 - TIF
Val Grp - 2 - FD
Val Grp - 3 - STATE
Val Grp - 4 - RMV
Val Grp - 5 - PWRL CR
TOTAL - - - - - AG CR
HST CR
TOTAL - -
TOTAL DIFFERENCE - - - - - - - -
Tax is paid as of:Local Tax Rate:
Tax NOT paid as of:RMV Rate:
Investigator's Signature:
Note: (under $10,000) For this abatement to be approved, the Assessor and Director of Property Records & Taxpayer Services must both favorable recommend its adoption.
ASSESSOR'S RECOMMENDATION (County Assessor or City Assessor)
CRITERIA:
Approved Denied
DIRECTOR'S RECOMMENDATION
Approved Denied
Approved Denied
After examining the applicant's claims, I have carefully investigated this application and find the facts to be as follows:
OFFICE USE ONLY
REPORT OF INVESTIGATION
Date:
CERTIFICATE OF APPROVAL - COUNTY ASSESSOR
Assessor's Signature Date:
Director's Signature Date:
COUNTY BOARD OF COMMISSIONER'S - COUNTY AUDITOR
Note: For abatements resulting in a change of $10,000 and above including tax, penalty and interest. For this abatement to be approved, the Assessor, Director of Property
Records & Taxpayer Services, and the County Board of Commissioners must all favorab
Auditor's Signature Date:
I certify that at a meeting held (month, day) __________________(year) _________ the County Board of Commissioners took the above action on this abatement. This action
was duly adopted and entered upon the minutes of its proceedings as a public record, s