PERMFILE139505

• Permit No: M1984013
• IBM Index Class Name: Permit File
• Doc Date: 1/26/1984
• Doc Name: LIMITED IMPACT & SPECIAL 10-DAY 111 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

Eh'IBIT "G"
'ayment by Check
• Suhject to
Collection
TAX NOTICE - ~ ~
GILPIN COUNTY TREASURER'S OFFICE
CENTRAL CITY, COLOR ADO 80427
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TOTAL TAX BELOW O eE DISTRIBUTED AS FOLLOWS:
DISTRICT ILL LEV V GENERAL TqX
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MPORTANT INFORMATION
ON REVERSE SIDE
IF NOT RESPONSIBLE FOR
THIS TAX -PLEASE FORWARD
TO THE CORRECT PAVOR.
SENATE RILL 1141197] C.R.S.) RE gU1RES FVLL
PAYMENT OF T %ES TOTALING LEBS THAN
525.00, AND SUC TA%ES SHALL BE PAID NO
LATER TH qN TH LAST DAV OF APRIL.
TAXES BECOME OUE ~ND PAV ABLE JANUARY 1. FIRST
HALF MVST BE Pq ID B THE LAST DAV OF FEBRUARY TO
AVOID A PENALT V. 2n HALF MUST RE PAID BV JULY 71
TO AVOID A PENALTY, FULL PAYMENT - IF FULLY PgID IN
ONE PAYMENT BV APR L 70, NO PENALTY CHARGED.
I F ST
LEVY WOULD BE
ID NOT PROVIDED I
SCHEDULE NUMBER
VAIUATION ~ LEVY ~ FIRST HALF ~ SECOND HALF

rtNA~ TII s,
INTEItL S1,
Id 15C Cf1St
HAKE CHECKS Pq VABLE TO 70 SAVE TAX PAVOR DOLLAR, WE REQUEST _
VIRGINIA LEE STAR KEY YOUR CANCELLED CHECK 8E USED AS A RECEIPT. TOTAL
•ILPIN COUNTY TREASURER IF YOU REQUIRE A RECEIPT, PLEASE / THE BOX
PLEASE RETURN THIS NOTILE WITH YOUR REMITTANCE
IF LOAN COMPANY IS RESPONSIBLE FOR TIiIS TAX, PLEASE FORWARD THIS NOTICE TO
TAX NOTICE -
ayment by Check GILPIN COUNTY TREASURER'S OFFICE
SUb~e Ci l0 CENTRAL CITY, COLORADO 00427
Collection
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VALUATION ~ LEVY ~ FIRST HALF
SCHOOL
IF STATE A

.1AKE CHECKS PAYABLE TO
VIRGINIA LEE STARKEV
ILPIN COUNTY TREASURER
INT.-:~ - -~ -. f FES. -~
AUV t4.: PRFD.
HNML._
PORTANT INFORMATION
ON REVERSE SIDE
IF NOT RESPONSIBLE FOR
THIS TAX -PLEASE FORWARD
TO THE CORRECT PAYOR.
SENATE BILL 114 (19]3 C.R.S.) REgUIRES FULL
PAV MENT OF TA ES TOTALING LE95 THAN
525.00, AND SUCH TAXES SHALL RE PAID NO
LATER THAN THE AST DAY OF APRIL.
TAXES BECOME DUE AFID PAYABLE JANUARY 1. FIRST
HALF MUST BE PAID BV HE LAST DAV OF FEBRUARY TO
AVOID A PENALTY. 2nD HALF MUST RE PAID BV JULY 71
TO AVOID A PENALTY. ULL PA VMENT - IF FULLY PAID IN
ONE PAYMENT BV APRIL 70. NO PENALTY CHARGED.
TOTAL TAX BELOW
DISTRICT
,.,~ ~:~~..j..r
D HALF
PENALTIES.
INTEREST,
MSG CO51
TO SAVE TAX PAYOR DOLLARS, WE REQUEST
YOUR CANCELLED CHECK BE USED AS A RECEIPT.
IF YOU REQUIRE A RECEIPT, PLEASE J THE BOX
TOTAL
BE UIJI HItlU1tU AS FULLUWS:
_L LEVY GE NE RAL TA%
.EVY WOULD DE
D NOT PROVIDED
SCHEDULE NUMI
JT.~. FEES:
DVTG.: PRED.
ANML.:
PLEASE RETURN THIS NOTICE WITH YOUR REMITTANCE
uY IS RESPONSIBLE FOR THIS TAX PLEASE FORWARD THIS