HomeMy WebLinkAboutUntitled (2) RECEIVED
Nov 10 1983
Form No. 17I8 Commissioner of Revenue P°Y`.15•'‘
APPLICATION AND AUTHORIZATION FOR DELAYED PAYMENT OF TAX
ON SPECIAL ASSESSMENTS FOR SENIOR CITIZENS' HOMESTEAD
LAWS 1974, CHAPTER 206
STATE OF MINNESOTA )
County of WASHINGTON ) Date. November 8 19 83
To: Robert D. Burns Assessor of Washington County, Minnesota
I, the undersigned, declare under penalties of perjury:
That I reside at 14087-60th St. No., Oak Park Heights, Minnesota 55082
That I am not less than 65 years of age and that the date of my birth is March 29, 1903
That I am the owner of the property legally described as: W 633 feet of NW 1/4 of NW 1/4 of Section 4,
Township 29, Range 20 West, Washington County, except the South 550 feet thereof and the
portion thereof taken for highway purposes [Parcel No. 50-60004-4330)
That my interest in the ownership of the above property was acquired X { __--- .n August 19 53
and is as follows:
1. Sole ownership (Enter yes, if applicable) Yes (as the surviving joint owner of the property
with Peter J. Dielentheis, now deceased)
2. Joint tenancy, held with _
3. Other undivided interest (Specify) _
my now deceased husband and
That on January 2, 1983 / 4t. I owned and occupied the above property as,'9 mestead and
such occupancy began)611 in August 19 57
That the taxes for improvements on the special assessments duly adopted in ordinance by the _City
Council of the City of _ Oak Park Heights of __October 24 — 19 83
which have been allocated against the subject property would create undue personal hardship on my behalf
and I respectfully request that payment be delayed and that such taxes be so deferred for the years 19_11_
to 9 94 Here incorporated by reference are - (i) the City's payment deferral resolution
ac ion of January 25, 1982 as to the undersigned's above descri.-. property, and (ii) the
i l
undersigned's Notice of Appeal dated / _
Signed �!° ,r __. _fir�.s;...
November 4, 1983, as to the subject 01. A. Dielenthea.'ner
special assessments.
I, , Clerk of the of
in County, State of Minnesota, do hereby certify that the application of
above named, has been duly reviewed and that in accordance with the
minutes of official record in said chambers was duly 0 APPROVED or 0 DENIED as of
19 .
That in accordance with approval granted, that the taxes on the affiants subject property levied for annual
collection in the amount of $ for the year
should be so deferred with interest at the annual rate of %, until such time as it is deemed the appli-
cant no longer qualifies or the property loses its eligibility.
Dated _ 19
(Clerk or Authorized Deputy)
OFFICE OF REGISTER OF DEEDS )
STATE OF MINNESOTA
County of )
I hereby certify that the within Authorization was filed in this office for record on the day of
A.D. 19 at o'clock M., and that delayed payments in the amount
of $ for each of the years 19 to 19 , subject to annual rates of interest fixed at
% was duly recorded in Book , on page
Register of Deeds
By Deputy
ASSESSORS' ORDER AND/OR NOTICE OF TERMINATION
ON DEFERRED TAX FOR SENIOR CITIZENS
I certify that I have reviewed the application of
herein named, that it has been duly approved and that taxes levied for special assessments under the subject
ordinance have been officially deferred in the amount of $ for each of the followings year(s)
, subject to annual fixed at % as recorded in Book Page
of the records in the Register of Deeds office in this county, and it is so ordered.
Date of Approval 19
County Assessor
OR
The above order terminated this day of — 19
Reason(s) •
County Assessor