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<br />TAX ACCOUNT NUMBER <br /> <br />REQUEST FOR SEGREGATION OR COMBINATION FOR THE 'j;:;- TAX YEAR <br /> <br />ASSESSMENT NUMBER <br /> <br />,:;/",," <br /> <br />HAP NUMBER I¡)--!:;C ,0:)/\1\ SUBDIVISION <br />Lot Block <br />NEW OWNER'S NAME ___J.Ylf {'I";' l/ili" II' UN'.hl.J-r- <br /> <br />ADDRESS i;;:~'K S9J~lJr:lll'; ¡,.J!,", l!rYlilt..-----:-¡¡; 'i"{ê51--'-1."-~ <br /> <br />SEGREGATION COMBINATION <br />Are all names 1dentica <br />on each account? <br />Does mortgage include <br />alll accounts? <br />Are all accounts <br />contiguous? YES .-- NO <br />Are taxes current? YES-Z= NO--- <br /> <br />,culI!r e,' s¿ M ð ~ <br />þ,!f'~t -<RE ESTED BYQmu~ "nt' '-y¡.:.1~ <br /> <br />,9,C1 TEL:PHÕ~E--;U~BE~.sz32.- {,(q{G ,- <br /> <br />'in :L~6--,.',¡.J() <br />'1"';),'>(;-';":' <br /> <br />DEED/S <br /> <br /> <br /> <br />YES <br /> <br />NO <br /> <br />REQUEST TAkEN BY <br />(--Additional remarks on back) <br /> <br />/ <br /> <br />~#..__._~- <br /> <br />YES -'NO <br />YES --NO <br />