LOUISIANA TAX COMMISSION .us



AFFIDAVIT

PARISH OF ___________________

STATE OF LOUISIANA

Before me, the undersigned notary, personally came and appeared:

{Insert Name of Assessor}

Who, after being deposed, did say to wit:

1. That I am the Assessor for the Parish of__________;

2. That, as Assessor for ___________ Parish, it is my responsibility to prepare and review the tax rolls presented to the Louisiana Tax Commission;

3. That I prepared and reviewed the 20___ tax roll which was filed with the Louisiana Tax Commission, and that the information contained in the tax roll is true and accurate to the best of my knowledge, information and belief.

4. That, the Assessor has complied with all provisions of the Louisiana Constitution, statues and the Rules and Regulations of the Louisiana Tax Commission regarding public exposure of assessments, preparation and filings of tax rolls.

Signed this ____________ day of _____________________, 20____.

By:_____________________________________

____________, Assessor for _______ Parish

Witnesses:

__________________________

__________________________

________________________________________

Notary Public

Identification Number:__________

Parish of ____________

State of Louisiana

My commission expires:___________________

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