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C 227 (6-82) 1 APPLICATION AND AUTHORIZATION FOR DEFERRAL OF SPECIAL ASSESSMENTS M.S. 435.193 State of Minnesota County of Hennepin APPLICANT: Submit 4 notarized copies of this application DATE to your municipality or taxing district. 7/15/06 PRINT,OR TYPE NAME MERE PROPERTY I.D. NUMBERS .the undersigned, declare: Mildred M. Demcho 06—Q29-23-33--0035 lat I That I am not less than 65 years of age side at' 2501 30th Ave- ue NE St. Anthony, MN 55418 X and that the date of my birth is 12131/18 iat I am the owner of the property legally d6scribed as: (Give legal description) That I am retired because of . Abstract Torrens permanent and total disability Addition Name: Murray Heights 2nd Unit Lot: 007 • Block: 003 , L.._..,_._1 Additional Sheet Attached hat my interest in- the ownership of the above property was acquired. on.. 'September 1 .,o 1;r, id is as follows: SOLE OWNERSHIP OTHER UNDIVIPI=D INTER -EST— Specify =JOINT TENANCY -- HELD WITH 'hat on January 2, 19-2006 or June 1, 19ZQQ.� l owned and occupied the above property as my homestead and that such occupancy began on September 119. 55 , hat the assessment charges duly adopted by ordinance which have been allocated against the subject property would create undue personal hard - lip on my behalf.and i respectfully request that payment be delayed and that such taxes be deferred. APPLICANT: Complete unshaded areas -- For assistance contact your municipal clerk. Levy No. Date of First Total Amt. Remaining Amt. Interest Rate Annual Payment of Lever of Levy of Levy ' • r ' 16532 ,-5/15/07 $4,612.00 $4,67.2.00 6.00% 3torial Stamp or Seal STATE OF MfNN.ESOTA of , Hennepin The foregoing instrument was acknowledged before me this PDX" T. t�G 1 't:li yp.. day o July �1 g,� ?� 006 By- Mildred M. Demcho IVIitCarlunlsSl0ly cpl�312�1Q (Applicant) . Signa re of Notary. I certify the above to be true and correct. o ary Public, f� - County, Minnesota j (Signature of Applicant My commission expires'�lj - r AUTHORIZATION Barbara J. Suciu Clerk of the. City- of St. Anthony in Hennepin County, State of linnesota, do hereby certify that this applicatidn has been duly reviewed and that in accordance with the minutes of officiAl record in said cham- .rs was duly %_ APPROVED '�_.� DENIED as of 19 - (Seal) That in accordance with approval granted, that the taxes on the affiants subject property levied for collection as described should be so defer - d in the TOTAL AMOUNT OF4, 0 612 ' $ Qand compounded at the additional interest -rate of 6, 0 % until such time as it is deemed the appli- int no longer qualifies or the property loses its eligibility. Clerk or Date of Approval Authorized Deputy ORDER OF DEFERRAL certify that I have reviewed this application and that it has been duly approved -d that assessment charges levied for special assessments under the subject ordi- nee have been officially deferred as stipulated by the above subdivision and re- rded in the Register of Deeds office in this county as noted, and it is s6 ordered. ►TE OF ORDER COUNTY AUDITOR ORDER OF TERMINATiON le above order terminated this day -of 1 g EASON: • I. kTE OF TERMINATION COUNTY AUDITOR .24 REGISTER OF DEEDS