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'Tax is Pm~ Dale . ,19__ Local 'fax Rate <br />'Tax is Not Paid <br /> REPORT OF INVESTIGATION <br /> <br /> CERTIFICATIONS OF APPROVAL <br />NOTE: For this al3alement to be ~pproveC, t~e assessor, count' auOrtor and the coun~ b~rd of comm~ss~one~ must all ~vo~bly <br /> <br /> ASSESSOR'S R~COMM~NDATION (Counb' assessor or ci~, assessor in certain cities) <br /> <br />~ A~roved ~ Denied <br /> <br /> Assessor's Signature <br />COUNTY AUDFFOR'S RECOMMENDATION <br /> <br />Denied <br /> <br />Auonor's SLom~ture <br /> <br />COUNTY, BOARD OF COMMISSIONER'S ACTION (q'e be complete.':' ~y count.v audiIor) <br /> <br />_ A=~rovec <br /> <br />~-- DenieC <br /> <br />~ certify ~'r,r.i ~i E me-etin~ r~ei= ~c , ¢ . <br />~ton on this a~atemer.:. Tn:s action was Cub' aoomec ano enterec uoon the mtnu~es o! ~'.s orocee~tn~s 85 ~ ~uDilc <br />re2orr..;, snowin~ the names of ~2. xDa.vers, other concernec Lpersons an~ the amounts mvo~ve=. <br /> <br />Recum~on Of Tax <br />Reouction Of Penat~, <br />ReOuction Of Inleres: <br />Tmal ReOuction/Refund <br />Total Payable <br /> <br />$ <br /> <br />E/ Signs;ure o': Coun,'),'' ~ '--- <br /> <br /> <br />