Full Text
CITY OF MIDDLETON CERTIFICATION OF SPECIAL ASSESSMENT Please enclose check to the City of Middleton for $20.00 Mail form & check to City of Middleton, 7426 Hubbard Avenue, Middleton WI 53562 Property Address: Parcel Number: Owner's Name: Buyer's Name: Legal Description: Current Special YES NO Assessments on tax roll: (if yes, list) Delinquent Utility: YES NO Amount due including late charges * A final water read is required for a closing 2012 Assessment: 2012 Taxes: SEE ATTACHMENT * For Delinquent payments and payments made 2012 Mill Rate $20.94 after 1/31 please refer to: http://accessdane.co.dane.wi.us/ Signature Mail Completed Form to: TITLE COMPANY ADDRESS CITY, STATE ZIP SEE ATTACHMENT I, DO HEREBY CERTIFY, that as of day of the information provided, represents to the best of my knowledge, special assessments, assessments, taxes, and utiliity charges subject to the above property. I work for the the City of Middleton, in the County of Dane, Wisconsin, and have access to the records in connection with special assessments, assessments, taxes, and utiliity charges for all premises situated in the City of Middleton, CONTACT & PHONE ---PAGE BREAK--- Revised 5/31/13