Form 1

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“STATE OF ARKANSAS, .......... SPECIAL IMPROVEMENT DISTRICT To the Collector of the . . . . . . . . . . . . . . Special Improvement District: You are hereby commanded to collect from the owners of real property described in the annexed list the assessments as extended thereon for the current year, and to pay the same to the treasurer of said district within sixty (60) days from this date

Witness my hand and seal of said district this . . . . . . . . . . . . . . day of . . . . . . . . . . . . . ., 20. . . . . .

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