HomeMy WebLinkAboutCC 5 17 16 abatement form_consent #8 WAS INGTON COUNTY ASSESSMENT DIVISION
APPLICATION FOR ABATEMENT® GENERAL FORM
CLASSIFICATION I DISASTER CREDIT/SPECIAL ASSESSMENTS
Received: Assessment Year: 2015
orksheet# Payable Year: 2016
APPLICANT
Owner's Name (please print or type) soc Sec Fed ID Phone Cell
Jerome Junker
Owners Name Soc.Sec rt-7 ID Phor e, Cerl
Owner's Name Sec.See./Fed 1D Phone Celi
Owner`s Mailing Address Prop zty Address(tfdif,',turn n?ailing address)
Ill 30 20th Street Ct
City State �5504�2
L s`t} State Lip
Lake Elmo
1N
DESCRIPTION OF PROPERTY
Property ID Number Linked Group Number
24.029.21.33.0010
Legal Dese6ption of Property City or township School Disnict# TAG
Lake Elmo 834
ASSESSOR'S ESTIMATED MARKET VALUE
Original:
l rnd EMV bnprovement EMV Total Class
Revised:
Land EMV hnprovement EMV Total Class
Applicant's Statement of facts:
The City of Lake Elmo_assessed this parcel for the 2014 street project assessment in error.
Proceeds were received by the City of Lake Elmo on 10.29.15
Applicant's Request:
Abate the special assessment and interest for Pay 2016 in the amount of$730.50. ($500 prin$230.50 int)
f k.
£ y
� r
Applicant's Signature: �.., rl t I;, a .,. ,� ..... Date:
t`
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 5/3 2
OFFICE USE ONLY
Taxes
ORIGINAL Class EMIVL EMVI EMIV TMIV Tax Capacity Credits SPASS Total Tax
_ LNTC
_Val Grp-1 TIF' —
Val Grp-2 - FD
Val Gip-3 STATE
Val Grp-4 -- - RMV
Val Grp-5 PWRL CR
- ---
TOTAL AG CR
HST CR 1'
TOTAL'
Taxes
REVISED Class EMIVL EMVI EMIV TMIV Tax Capacity Credits SPASS Total Tax
LNTC
-Val Grp- l --�— �---� — ----� TIF—
Val Grp-2
Val Grp3 �-�- -- ---� - ------- -
_ STATE
Val Gip — -- --�- - RMV
Val Grp-5 - ( PWRL CR
TOTAL I
- - - AGCRI
HST CR i
TOTAL I -
TOTAL DIFFERENCE
PORT 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)Fbr 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:
Apved Ded Assessor's Signature �— Date:
(DIRECTOR'S RECOMMENDATION
Apn ved —D�ed -- -- — 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
ApOved —Denied-1 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
2 Rev 5/12