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PAYMENT UNDER PROTEST APPLICATION - …

PAYMENT UNDER PROTEST APPLICATION (Excluding Illegal Levy) ( 79-2005) APPLICANT: (For Official use only) _____ Applicant Name (Owner of Record) _____ Applicant Address (Street or Box No.) _____ City State Zip Applicant Phone #:(____)_____ Applicant E-mail: _____ ATTORNEY OR REPRESENTATIVE: (If applicable)* _____ Representative Name Title _____ Representative Address _____ City State Zip Atty/Rep Phone #:(_____)_____ Representative E-mail:_____ *Note: If you are represented by an attorney or other individual, you must provide an Entry of Appearance or a current Declaration of Representative Form.

Payment Under Protest Page 3 of 3 GENERAL INSTRUCTIONS FOR FILING A PAYMENT UNDER PROTEST (Excluding Illegal Levy) 1. You may protest your taxes only if you did not file an equalization appeal on the valuation of the same

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