I-4 - Resolution 2021-033 - Adopting Final Assessment Schedule for Orginal Town Phase One

SPECIAL ASSESSMENT STATEMENT TIFFIN, IOWA 2017 Original Town Urbanization Project I, the undersigned, City Clerk of the City of Tiffin, Iowa, do hereby certify that the status of the assessments levied on May 4, 2021, for the 2017 Original Town Urbanization Project, more fully described in the resolution making said levy, adopted by the Council on said date, is as follows: 1. Total amount of assessments confirmed by Council (do not include deficiencies) $__________ 2. Total amount of assessments paid in cash (including assessments of $500.00 or less) $__________ 3. Total amount of unpaid assessments $500.00 or less $__________ 4. Total amount of unpaid assessments on agricultural property for which deferments have been requested $__________ 5. Sum of items 2 through 4 $__________ 6. Total amount of unpaid assessments to be paid in future installments and not included above (item 1 less item 5) $__________ WITNESS MY HAND this ___ day of ____________________, 2021. ____________________________________ City Clerk (NOT TO BE EXECUTED UNTIL 30 DAYS AFTER THE DATE OF THE FIRST PUBLICATION OF THE NOTICE OF FILING OF FINAL ASSESSMENT SCHEDULE.)