PERMFILE124219

• Permit No: M1981075
• IBM Index Class Name: Permit File
• Doc Date: 2/5/1981
• Doc Name: DESCRIPTION OF PROPERTY
• Media Type: D
• Archive: No

' IC•DFT FORM F 'll TY •ADMINI6TRATOR
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FORM 920 t/eel-4/79 PETITI IIIII'II R REFUND OF TA%ES ' ~
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Petitioners: Use this side only.
....................:5•'.':`..`.=......._..... ..._Culurado, .......... Pet r,a:3~..?~...:.. - .., 19.'1... ' , '.
'Il'o 'Q'he Honorable Board of County Cmm~tissloners of .. .. ................. ~: ~+'i1~JU1..................County. ~ ~ ,
Gentlemen:
The petition of .........................~'?., ..,, :.:;~ r::~, .., ~ r:. zLl.n-s
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,' .. Address...- .....................................1.C: _;tiG`~: , ^o ~~~:~.. )1
.. ...............................................................................................
DESCRIPTION O~ PROPERTX
respectfully shows that the taxes assessed against your petitioner for the years A. D. 19..1.~~.,
19........, 19........, are erroneous or illegal for the following reasons, viz: ,'
(Give Pull particulars as W wherein the error or illegality lies)
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Fe-value .lanA bae~•l nn ~~rrc,..~.~rl nrr,~9urti- :• "ir~u•~~2s ,,`.or .:, ...~ctcne •I
oreration,
19..~~.. 19........ 19........
_ Value Tax Value Tax Value Tax '
Orig. ;:,,;,~:, ~ ~; . ;'
Bal. "a, ;7~1 ,;+: t,. ~.
That ....he has ....''~'~...........paid ..............'.:`;~.... ...................said taxes. Wherefore your pet-
' itioner prays that [he [axes, as aforesaid erroneously or illegally assessed, may be ab8[edwn:vrt~
° ~:
t~ff8P8' in the sum of $..?:.'~.• ...........
I declare, under penalty of perjury in [he second degree that this p®ti[ion, together with any '
' accompanying exhibits or statements, has been examined by me and to the best of my knowledge,
information and belief is true, correct and complete.
Petitioner
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By.. ........ _- _ ..........- ........
Agent
Address ...... - - - ~- -
~`~~J tel. ~~~5~1
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