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A county treasurer certifies that required property taxes for the specified assessment year and prior years have been paid or that the applicant is exempt, with signature and date 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permit number |\n| --- |\n| Expiration date (month, day, year) |\n\n\n| Name of individual' or company |  |  |  | TYPE\u003Cbr>(Check all that apply) |\n| --- | --- | --- | --- | --- |\n| If transfer, give former name of business |  |  |  | 􀂆 New\u003Cbr>Renewal\u003Cbr>􀂆 Transfer (Check all that apply)\u003Cbr>Ownership\u003Cbr>􀂆 Location\u003Cbr>􀂆 Stock |\n| Mailing Address (street and number of rural route) |  |  |  |  |\n| City | State | ZIP Code |  |  |\n| Doing business as (DBA) |  |  |  |  |\n|  |  |  |  |  |\n| Permit location (street address) |  |  |  | STATUS |\n|  |  |  |  | 􀂆 Permit escrow\u003Cbr>􀂆 DBA change |\n| City | State | ZIP Code |  |  |\n|  |  |  |  |  |\n| I, Treasurer of   County, hereby certify that the person or company named above has paid all property taxes in 20  (for 20  assessment) and property taxes for all prior years, or is exempt from property tax by reason of   |  |  |  |  |\n| Signature of County Treasurer |  |  |  | Date (month, day, year) |\n\nPROPERTY TAX CLEARANCE SCHEDULE-FORM NO. 1  \n(For a 􀂆 Person 􀂆 Business 􀂆 Corporation)  \nState Form 1462 (R6 / 7-10)  \nApproved by State Board of Accounts, 2011  \nINDIANA ALCOHOL AND TOBACCO COMMISSION  \n\n| ATC permit number |\n| --- |\n| Expiration date (month, day, year) |\n\n\n| Name of Individual or company |  |  |  | TYPE\u003Cbr>(Check all that apply) |\n| --- | --- | --- | --- | --- |\n| If transfer, give former name of business |  |  |  | 􀂆 New\u003Cbr>Renewal\u003Cbr>􀂆 Transfer (Check all that apply)\u003Cbr>Ownership\u003Cbr>􀂆 Location\u003Cbr>􀂆 Stock |\n| Mailing Address (street and number of rural route) |  |  |  |  |\n| City | State | ZIP Code |  |  |\n| Doing business as (DBA) |  |  |  |  |\n|  |  |  |  |  |\n| Permit location (street address) |  |  |  | STATUS |\n|  |  |  |  | 􀂆 Permit escrow\u003Cbr>􀂆 DBA change |\n| City | State | ZIP Code |  |  |\n|  |  |  |  |  |\n| I, Treasurer of   County, hereby certify that the person or company named above has paid all property taxes in 20  (for 20  assessment) and property taxes for all prior years, or is exempt from property tax by reason of   |  |  |  |  |\n| Signature of County Treasurer |  |  |  | Date (month, day, year) |","cbCaiuTbFFKwh4sn","https://ap.wps.com/l/cbCaiuTbFFKwh4sn","pdf",574706,"English","# Form Overview\n## Certification and Signatures","[{\"question\":\"Who uses this Property Tax Clearance Schedule - Form No. 1?\",\"answer\":\"It is for a person, business, or corporation that holds an ATC permit in Indiana and needs property tax clearance information recorded on the form.\"},{\"question\":\"What details must be provided on the form?\",\"answer\":\"The form requires ATC permit number and expiration date, the applicant’s name and type, transfer/new/renewal information if applicable, and both mailing and permit location addresses.\"},{\"question\":\"What does the county treasurer certify?\",\"answer\":\"The county treasurer certifies that the named person or company has paid all required property taxes for the assessment year and all prior years, or is exempt from property tax for the stated reason, and then signs and dates the form.\"}]","Property Tax Clearance Schedule - Form No. 1 | PDF",1789810173]