Fillable Printable Sample Current Tax Receipt
Fillable Printable Sample Current Tax Receipt
Sample Current Tax Receipt
P r o p e r t y Ta x
Sample Current Tax Receipt
TAX RECEIPT FOR
_________________
TAXES PAID
COLLECTING OFFICE
Collecting Office Name: _____________________________________________________________________________ Receipt No.: ______________________
Collecting for: __________________________________________________________________________________________________________________________________________
Address: ________________________________________________________________________________________________________________________________
City, State, ZIP Code: ______________________________________________________________________________________________________________________
PROPERTY OWNER/AGENT
Name: __________________________________________________________________________________________________________________________________
Address: ________________________________________________________________________________________________________________________________
City, State, ZIP Code: ______________________________________________________________________________________________________________________
Property Account Number: __________________________________________________________________________________________________________________
PROPERTY DESCRIPTION
Taxing Units Taxable Value Tax Rate Taxes Paid Date Paid
1.
2.
3.
4.
5.
Split Payment: ______________________ Date Paid: ______________________
Taxing unit(s) have not calculated the ____________ tax rate(s). Therefore, tax amounts for the current year are not available.
(taxing units)
