Agenda - Council - 04/12/1994 - Laserfiche WebLink

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Form No. 1273 - Commissioner of Revenue Abatement Form 4 (Rev. 5/90) APPLICATION FOR Please print or type. ABATEMENT (M.S. 375.192) Poucher, Mpls. GENERAL FORM For Taxes Levied in 19 93 and Payable in 19. 94 Applicant's Nama City of Ramuey Applicant's Mailing Address Applicant's Social Security Numbe~ Telephone (work) ( 612 ). 427-1410 15153 Nowthen Boulevard N.W. Telephone (home) ( ) Ramsey, MN 55303 DESCRItVFION OF PROPERTY I Property I.D. or Parcel Number. 21-32-25.43-0022 Street Address (if different than above) City or Township 7431 - 149th Lane NW Ramsey School District Number 11 / 728 LEGAL DESCRIPTION OF PROPERTY: Lot 7, Block 3 Pinview Estates AS SESSOR'$ ESTIMATED MARKET VALUE: Land $ Structures $,, Total $ Class APPLICANWS STATEMENT OF FACTS: Prepayment was received for the special assessment for Improvement Project Number 93-06, City Fund Number 437, County Fund Number 82193, for PIN 21-32-25-43-0022, but the PIN was not removed from the County Rolls payable 1994. APPLICANT'S REQUEST: Remove the special assessment payable for 1994 for PIN 21-32-2-5-43-0022, Improvement Project Number 93-06, City Fund Number 437, County Fund Number 82193, per Resolution Number 94-04- . Please adjust your records and tax statements accordingly. Applicant's Signature Date NOTE: Minnesota Statutes 1988, Section 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 which the maker of this statement knows is false may be sentenced, unless otherwise provided by law, to ~,~gimpfisonment for not more than one year or to payment of a fine of not more than $3,000, or bottl."