HomeMy WebLinkAbout33621TREASURER'S
COPY
CHAPTER 2B.43 RCW
PLEASE FILL OUT COMPLETELY
M, REMITTANCE F REAL ESTATEEXCISECOUNTY SETAXcASURcR
NAM. ax... ruT.z
ADDRESS NAM OP SaLLER AND COM TR ADDRRpe--------------------------
NAME
--------.-,DO<Lti..E. ..GUIHRSE--------
ADDRESS O • AN CO ILETe DREe■
1pll 4mrlptLn A roul property ONuated Is 1FFFERSON COUNTY
THE SOUTH HALF OF THE NORTHWEST QUARTER OF
PORTION LYING WESTERLY OF COUNTY ROAD, IN
NORTH, RANGE 1 WEST, W.M.
HANDLED
BY
GOVERNMENT LOT 1;
SECTION 5, TOWNSHIP 28
MOSS SAIIS Ptl[I (MMMMI•e • rIM•/ ylnr teNptd Mlmu) f _..1.7.+.0.R.0_._q_Q_______.
PERSONAL PROPIRTI (DOOM") f...........................:....
TAIAILI fAus PRIQ f ._li JO-O"011........
•ATI O/ INITRYMINT - (O• irt. •f Lllr«y a I•"r•rr N tM Ir dry A.r. +rnA� I•
"Iscr•"1 •teeeYlM
•[HYEM .I=srr.7...................................................................................:.
TM of Mgn=RT...--REAL--ES_TATE--- CON.TRACT------•---------------------------
N %x olrwetM. h dreld •�� tiYy.rV .rkTt tl,M kanlOr--`------------------------------------------
------------------------------------------------ ------------------------------------------------------------- ... ..... ..... .--- ----
-------------------------------------------------------------------
N sale cerxr property' nedd to nri•r torlkn Ol, CMptor 149, 1967 u. infer, eM ifr
of prior ri• Prior AtINeNI No.
LAND--------- ------ I ....
IOTAL..
10001. DISTRICT -------
I I I yIARIAITAPPL____------- __________
PROPII I CLASS
This beceRlOs your ruelpt whin ofueped paid by The county treasurer. Payment
el<;Yrrlll �Mt be MWO by cash or corHfled c6KL This return a iWt to audit eed verlFkw
lion by ** Stole Department of R"insi s, and on Incomplete affidavit will be re-
- XVI'%3 0 0 0 0 0 ;j LL-1i-►DAY
1%h[Ir•Tu f.Aln_�fl_0.
Poeshy 117i qr IIrnB •IM1r II gory) f ...........................
TOTAL I ..1111.AU...........
AFFIDAVIT
TM 7t7!rd : te•I w•rM(( r pne coy. ihOl the tKOROIq Idrrnetlr•
Y • tr•• •d S•rr•" /lettrrrer M tht loft "WHO to Am km1•r as the
:o' .......... i!Lr -------------------------------
DiOnnTune
Amy person WlNuey elvl•e Wor WNrWwI In the, qM erlt rest be qdll•ct
to Ile rf •ry Ism of Ils• e•1 woky"ltnr.
C!.'.L..... ..
or
Sam or
ONOTWNTE IN HID SPACE
•...
PMAIk Is a11f Its%
E
OFFICG Uee ONLY
❑ Cwe RI MIS S ..
❑ RLO. ❑ Cap
❑ Chase ❑ nore
❑ worm PTUMW By
INed
After R "li' lso Tex St•1wn t T•
RECEIPT NO. V-
AMOUNT