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Home My WebLink AboutItem 4 - CC 4.7.15_abatement forms WASHINGTON COUNTY ASSESSMENT DIVISION APPLICATION FOR ABATEMENT-GENERAL FORM CLASSIFICATION/DISASTER CREDIT/SPECIAL ASSESSMENTS Received: Assessment Year: 2014 orksheet# Payable Year: 2015 APPLICANT Owner's Name (please print or type) Soc.Sec./Fed ID Phone Cell Carol and Todd Benjamin 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) 5695 Highlands Trail N City State Zip City State Zip Lake Elmo MN 55042 DESCRIPTION OF PROPERTY Property ID Number Linked Group Number 04.029.21.23.0003 Legal Description of Property City or Township School District# TAG Lake Elmo 834 ASSESSOR'S ESTIMATED MARKET VALUE Original: Land EMV Improvement EMV Total Class 0 Revised: Land EMV Improvement EMV Total Class 0 Applicant's Statement of Facts: The City of Lake Elmo assessed this parcel for the 2012 street project assessment in error. An abatement form was filed for the 2014 tax roll to remove the 2014 assessment;however no deletion form was filed to remove the remaining assessment balance resulting in the assessment remaining in the 2015 tax roll file in error. Applicant's Request: Abate the special assessment and interest for Pay 2015 in the amount of$421.50. ($300 prin$121.50 int) Applicant's Signature: C GLL ., ��'�--->%"�� Date: 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 1 Rev 5/12 OFFICE USE ONLY Taxes ORIGINAL Class ENIVL ENTVI EMV TMV Tax Capacity Credits SPASS Total Tax LNTC Val Grp-I - TIF Val Grp-2 - FD Val Grp-3 - STATE Val Grp-4 �- - RMV Val Grp-5 - PWRL CR TOTAL - - - - - AG CR HST CR _.. ._� TOTAL - - Taxes REVISED Class EMVL EMVI EMV TMV Tax Capacity Credits SPASS Total Tax LNTC Val Grp-I - 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 REPORT OF INVESTIGATION ❑ Tax is paid as of Local Tax Rate: ❑ Tax NOT paid as of: RMV Rate: After examining the applicant's claims,I have carefully investigated this application and find the facts to be as follows: Investigator's Signature: Date: CERTIFICATE OF APPROVAL-COUNTY ASSESSOR Note:(tinder$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: Apffed D n}ed Assessor's Signature Date: DIRECTOR'S RECOMMENDATION Apprgved Denied Director's Signature Date: LJ 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 Ap roved Denied Auditor's Signature T---Date: ❑ _i 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 2 Rev 5/12 WASHINGTON COUNTY ASSESSMENT DIVISION APPLICATION FOR ABATEMENT-GENERAL FORM CLASSIFICATION/DISASTER CREDIT/SPECIAL ASSESSMENTS Received: Assessment Year: 2014 orksheet# Payable Year: 2015 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 Ownees Name Soc.Sec./Fed ID Phone Ownees Mailing Address Property Address(if different from mailing address) 5787 Highlands Ct N City State Zip City State Zip Lake Elmo MN 55042 DESCRIPTION OF PROPERTY Property ID Number Linked roup Number 04.029.21.23.0010 Legal Description of Property City or Township School District# TAG Lake Elmo 834 ASSESSOR'S ESTIMATED MARKET VALUE Original: Land EMV - F Improxement EMV TotalCla„ 0 Revised: Land E%lV Improvement EMV Total Class 0 _applicant's Statement of Facts: The City of Lake Elmo assessed this parcel for the 2012 street project assessment in error. An abatement form was filed for the 2014 tax roll to remove the 2014 assessment;however no deletion form was filed to remove the remaining assessment balance resulting in the assessment remaining in the 2015 tax roll file in error. Applicant's Request: Abate the special assessment and interest for Pay 2015 in the amount of$421.50. ($300 prin$121.50 int) Applicant's Signature: C �-� �``'`""`- ( Date: 3/ 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 1 Rev 5/12 OFFICE USE ONLY Taxes ORIGINAL Class EMVL EAIVI ENIV TMV Tax Capacity 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! - Taxes REVISED Class EMVL EMVI EMV TMV Tax Capacity Credits SPASS Total Tax LNTC Val Grp-1 - TR Val Grp-2 - FD Val Grp-3 - STATE Val Grp-4 - RMV Val Grp-5 I - PWRL CR TOTAL - - - - - AG CR HST CR TOTAL - TOTAL DIFFERENCE REPORT OF INVESTIGATION ❑ Tax is paid as of: Local Tax Rate: ❑ Tax NOT paid as of: RMV Rate: After examining the applicant's claims,I have carefully investigated this application and find the facts to be as follows: investigator's Signature: Date: CERTIFICATE OF APPROVAL-COUNTY ASSESSOR 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: Appulved Djed Assessor's Signature Date: DIRECTOR'S RECOMMENDATION AptIved Denied Director's Signature Date: LJ COUNTY BOARD OF COMMISSIONER'S-COUNTY AUDITOR Note:For abatements resulling 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 Ap ved Died Auditors Signature Date: nr 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 2 Rev 5/12 WASHINGTON COUNTY ASSESSMENT DIVISION APPLICATION FOR ABATEMENT-GENERAL FORM CLASSIFICATION/DISASTER CREDIT/SPECIAL ASSESSMENTS Received: Assessment Year: 2014 orksheet# Payable Year: 2015 APPLICANT Owner's Name (please print or type) Soc.Sec. Fed ID Phone Cell Ronald Lynch Owner's Name Sec.Sec. Fed ID Phone C'clI Owner's Name Soc.Sec./Fed ID Phone Cell Owner's Mailing Address Property Address(if different from mailing address) 5757 Highlands Ct N City State Zip City State Zip Lake Elmo MN 55042 DESCRIPTION OF PROPERTY Property ID Number Linked Group Number 04.029.21.24.0004 Legal Description of Property City or Township School District# TAG Lake Elmo 834 ASSESSOR'S ESTIMATED MARKET VALUE Original: Iand EMV Improvement EMV Total Class 0 Revised: Land EMV Improvement EMV Total Class 0 Applicant's Statement of Facts: The City of Lake Elmo assessed this parcel for the 2012 street project assessment in error. An abatement form was filed for the 2014 tax roll to remove the 2014 assessment;however no deletion form was filed to remove the remaining assessment balance resulting in the assessment remaining in the 2015 tax roll file in error. Applicant's Request: Abate the special assessment and interest for Pay 2015 in the amount of S421.50. ($300 prin$121.50 int) Applicant's Signature: C Gw ,/ ��1--GQ Date: 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 1 Rev 5/12 OFFICE USE ONLY Taxes ORIGINAL Class EMVL EMVI EMV TMV Tax Capacity 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 - Taxes REVISED Class EMVL EMVI EMV TMV Tax Capacity Credits SPASS Total Tax LNTC Val Grp-I - 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 - - - - - I REPORT OF INVESTIGATION ❑ Tax is paid as of: Local Tax Rate: ❑ Tax NOT paid as of: RMV Rate: After examining the applicant's claims,I have carefully investigated this application and find the facts to be as follows: Investigator's Signature: Date: CERTIFICATE OF APPROVAL-COUNTY ASSESSOR 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: Apprgved I� Assessor's Signature Date: DIRECTOR'S RECOMMENDATION Apprgved T�ed Director's Signature Date: LJ u 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 Apmved Ivied Auditor's Signature Date: T- 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 2 Rev 5/12 WASHINGTON COUNTY ASSESSMENT DIVISION APPLICATION FOR ABATEMENT-GENERAL FORM CLASSIFICATION/DISASTER CREDIT/SPECIAL ASSESSMENTS Received: Assessment Year: 2014 orksheet# Payable Year: 2 115 APPLICANT Owner's Name (please print or type) Soc.Sec. Fed ID Pholic Cell Andrew&Ellen Rolling Owners Name Soc.Sec. Fed ID Ph,me Cell Owner's Name Soc.Sec./Fed 1D Phone Cell Owner's Mailing Address Property Address(if different m mailing address) 5710 Hytrail Avenue N City State Zip City State �P Lake Elmo MN 55042 DESCRIPTION OF PROPERTY Property ID Number Linked Group Number 05.029.21.14.0013 Legal Description of Property City or Township School District# TAG Lake Elmo 834 ASSESSOR'S ESTIMATED MARKET VALUE Original: Land EMV Improvement EMV Total Class 0 Revised: Land EMV Improvement EMV Total Class 0 Applicant's Statement of Facts: The City of Lake Elmo assessed this parcel for the 2012 street project assessment in error. An abatement form was filed for the 2014 tax roll to remove the 2014 assessment;however no deletion form was filed to remove the remaining assessment balance resulting in the assessment remaining in the 2015 tax roll file in error. Applicant's Request: Abate the special assessment and interest for Pay 2015 in the amount of$421.50.($300 prin$121.50 int) Applicant's Signature: Ca-� C� ��' �` �� Date: 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 1 Rev 5/12 OFFICE USE ONLY Taxes ORIGINAL Class EMVL EMVI EMV TMV Tax Capacit.N Credits SPASS Total Tax LNTC Val Grp-1 - TIF Val Grp-2 - FD Val Grp-3 - STATE Val Grp-4 - PIMv Val Grp-5 - PWRL CR TOTAL - - - AG CR HST CR TOTAL - Taxes REVISED Class EMVL EMVI EMV T NIN, Tax Capacity Credits SPASS Total Tax LNTC Val Grp-1 - TD' 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 - - - - _ REPORT OF INVESTIGATION Tax is paid as of: Local Tax Rate: ❑ Tax NOT paid as of RMV Rate: After examining the applicant's claims,I have carefully investigated this application and find the facts to be as follows: Investigator's Signature: Date: CERTIFICATE OF APPROVAL-COUNTY ASSESSOR 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: Appcclved Denied Assessor's Signature Date: LJ u DIRECTOR'S RECOMMENDATION App[gved Died Director's Signature Date: LJ 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 Ap} ved i Died Auditor's Signature Date: u 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 2 Rev 5/12 WASHINGTON COUNTY ASSESSMENT DIVISION APPLICATION FOR ABATEMENT-GENERAL FORM CLASSIFICATION/DISASTER CREDIT/SPECIAL ASSESSMENTS Received: Assessment Year: 2014 orksheet# Payable Year: 201 APPLICANT Owner's Name (please print or type) Soc.Sec. Fed ID Phone Cell David Broomell&Jamie Schwartz Owner's Name Soc.Sec./Fed ID Phone Cell Owner's Name Soc.Sec./Fed ID Phone Crl I Owners Mailing Address Property Address(if different from mailing address) 5655 Highlands Trail N City State Zip City State Lip Lake Elmo NIN 55042 DESCRIPTION OF PROPERTY Property ID Number Linked Group Number 05.029.21.14.0019 Legal Description of Property City or Township School District# TAG Lake Elmo 834 ASSESSOR'S ESTIMATED MARKET VALUE Original: Land EMV hnpmcement EMV Total Class 0 Revised: Land EMV Improvement EMV Total Class 0 Applicant's Statement of Facts: The City of Lake Elmo assessed this parcel for the 2012 street project assessment in error. An abatement form was filed for the 2014 tax roll to remove the 2014 assessment;however no deletion form was filed to remove the remaining assessment balance resulting in the assessment remaining in the 2015 tax roll file in error. Applicant's Request: Abate the special assessment and interest for Pay 2015 in the amount of$421.50.($300 prin$121.50 int) Applicant's Signature: C Date: 4 f 3//1 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 1 Rev 5/12 OFFICE USE ONLY Taxes ORIGINAL Class EMVL EMVI EMV TMV Tax Capacity' 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 - Taxes REVISED Class EMVL EMVI EMV TMV Tax Capacity 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 REPORT OF INVESTIGATION LJ Tax is paid as of Local Tax Rate: ❑ Tax NOT paid as of RMV Rate: After examining the applicant's claims,I have carefully investigated this application and find the facts to be as follows: Investigator's Signature: Date: CERTIFICATE OF APPROVAL-COUNTY ASSESSOR Note:(under$10,000)For this abatement to be approved,the Assessor and Director of Property Records&Taxpayer Services mast both favorable recommend its adoption. ASSESSOR'S RECOMMENDATION(County Assessor or City Assessor) CRITERIA: ApFjved Denied Assessor's Signature Date: DIRECTOR'S RECOMMENDATION Ap ved Denied Director's Signature Date: LJ 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 Apptgved D*ed Auditoes Signature Date: u 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 2 Rev 5/12