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<br />e <br /> <br />e <br /> <br />e <br /> <br />APPLICATION AND AUTHORIZATION FOR DELAYED PAYMENT OF TAX <br />ON SPECIAL ASSESSMENTS FOR SENIOR CITIZENS' HOMESTEAD <br />Minnesota Statutes, Section 435.194, Amended 1976 <br /> <br />STATE OF MINNESOTA <br /> <br />) <br /> <br />) <br /> <br />County of <br /> <br />) <br /> <br />Date <br /> <br />19 <br /> <br />To: <br /> <br />Auditor of <br /> <br />County, Minnesota <br /> <br />I, the undersigned, declare under penalties of peIjury: <br /> <br />That I reside at <br /> <br />That I am not less than 65 years of age and that the date of my birth is <br /> <br />That I am the owner of the property legally described as: <br /> <br />That my interest in the ownership of the above property was acquired on <br />19 and is as follows: <br /> <br />1. Sole ownership (Enter yes, if applicable) <br />2. Joint tenancy, held with <br />3. Other undivided interest (Specify) <br /> <br />That on January 2, 19_ or June 1, 19_ I owned and occupied the above property as my <br />homestead and such occupancy began on 19 . <br /> <br />That the taxes on the special assessments for the improvements <br />duly adopted in ordinance by the of as of <br />19_ which have been allocated against the subject property would create <br />undue personal hardship on my behalf and I respectfully request that payment be delayed and <br />that such taxes be so deferred for the years 19_ to 19_. <br /> <br />Signed <br /> <br />Owner <br /> <br />A-34 <br />