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APPLICATION AND AFFIDAVIT FOR REDEMPTION OF REAL ESTATE SOLD FOR TAXES TAX SALE DATE DISTRICT AMOUNT OF PARCEL # REDEMPTION $ State of IOWA ) ss. County of DALLAS) I, the undersigned, hereby request the Dallas County Treasurer to issue, as directed by me, a Certificate of Redemption from tax sale of the above numbered parcel of property located in Dallas County. To satisfy the Treasurer that I have an interest in the property itself sufficient to give me a right to redeem it upon payment of the proper amount, I do depose and certify under penalty of perjury that I am ( or the attached documents show I am the agent for a person who is) the following: The titleholder of record, or vendor or vendee under a recorded contract for deed. A mortgagee, judgment creditor, or holder of some other lien of record against the property, or The owner of record of the land on which the property, taxable as if real estate, is situated, or A life tenant, remainderperson or holder of a dower interest in the property, or The holder of record of a certificate of purchase of the property at a tax sale prior to the sale from which this redemption is made, or Other holder of an ownership interest of record in the property. A lessee under a written lease or a possessor of the property under color of title, evidence of which is attached, or a holder of some other unrecorded interest in the property, evidence of which is attached, briefly described Person or entity entitled to redeem (PRINT) (Signature) Address Title or capacity if agent, attorney or personal representative City, State, Zip Subscribed and sworn to before me this day of Notary Public in and for the State of Iowa TXREDPAF,Created on 5/8/1998 8:46 AM