15-18-217. Form of cancellation. The notice of cancellation of an assignment required by 15-18-212 and 15-18-219 must be made as follows:

I, ......, the treasurer of ....... County, certify that ....... (name of the assignee or assignee's agent) of ....... (address), purchased a tax lien assignment ...... (assignment certificate no.) on property owned by ...... (name of owner of record). See legal description attached as exhibit "A", Tax Receipt No. ..... on ..... (date).

I further certify that pursuant to 15-18-212(3)(a), notice was given to ...... (name of assignee or assignee's agent) of the notification obligation and that the tax lien will be canceled if the assignee does not comply with provisions of 15-18-212 and 15-18-219.

I further certify that the treasurer of ...... County has no record of notice by the owner of the tax lien in accordance with 15-18-212(7) or 15-18-219(5).

Therefore, noncompliance by the assignee has caused the tax lien to be canceled this ....... (date).

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Name of County Treasurer