Form 1

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“Special Assessment “The tax book for the collection of the first annual special assessment upon the real property in District No. . . . . . . for the purpose of . . . . . . has been placed in my hands. All owners of real property lying in the District are required to pay their assessment to me within thirty (30) days from this date. If such payment is not made, action shall be commenced at the end of that time for the collection of said assessments and for legal penalties and costs

“Given under my hand this . . . . . . day of . . . . . ., 19 . . . . .

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County Collector”

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