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PTAX-762-C Certificate of Ineligibility for Model Home Assessment Who must complete this form When and where must I file when any portion of the model home property no longer qualifies for the alternate assessment. Subscribed and sworn to before me this day Notary public Date If you have any questions please call Mail your completed Form PTAX-762-C to 309 937-3570 Henry 307 W Center St 61238 Cambridge For use by the CCAO Date received / / Comment.

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