HomeMy WebLinkAboutLeighton, Richard and Anne - 16-10-29-04-04-017.000RECEIPT
Fund: 220 Barrett Law Fund CITY OF CARMEL 05112/2004
OFFICE OF CLERK - TREASURER
Total: $580.00
For the Sum Of: Five Hundred Eighty Dollars And No Cents
Received from: Ieightton /mail
On Account of: barrett Iatvlbrookshire
Payment Type: Check
Remitter Signature
Authorized Signature
„9,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR THE CITY OF CARMEL - 1989
019498
04/14/2004
Richard & Anne Leighton
12832 Andover Drive
Carmel, In 46033
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CITY OF CARMEL
BARRETT LAW DIVISION
Barrett Number: 5
Resolution Number:
Parcel Number: 16- 10- 29- 04 -04- 017.000
Landowner ID: 253
NOTICE OF ASSESSMENT
Brookshire North Improvement District $580.00
The above amount is due in full without interest if paid by 5/10/2004. You may also choose to sign
the attached waiver agreeing to pay in 5 annual installements with interest (See attachment). Questions
regarding this Barrett Law assessment should be directed to the President of your homeowner's
association or the Carmel City Attorney (571- 2472).
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 Karen Huffman (317) 571 -2427
Barrett Number: 5 Parcel Number:
Resolution Number: Landowner ID:
Barret Law Installment Schedule
16- 10- 29- 04 -04- 017.000
253
Year Principal Interest Total Payment Due Date
1 $102.89 $34.80 $137.69 05/10/2004
2 $109.06 $28.63 $137.69 05/10/2005
3 $11 5.61 $22.08 $137.69 05/10/2006
4 $122.54 $15.15 $137.69 05/10/2007
Q'.7.x 99.0. .3-4 '7Q e 05/10208 ir
wi�T.7w ki.ii $131.6 /0
Make checks payable to: City of Carmel Barrett Fund
WAIVER OF PROPERTY OWNER
If you wish to make 5 annual installment payments, one -fifth of the assessment plus interest to the annual
due date will be charged (see chart above). If this is your choice, please sign the 'Waiver',
notarize signatures, and return in the enclosed self - addressed envelope with the first payment.
Signature:
Signature:
Installment notices to be mailed to:
Subscribed and sworn before me this
day of 20
PRINTED NAME OF NOTARY NOTARY'S SIGNATURE
COUNTY OF RESIDENCE
My Commission Expires
Make checks payable to: City of Carmel Barrett Fund