I, (here give name, title of municipal officer), of the (give name of
city, village, or incorporated town), do hereby certify that on (insert
date), .... deposited in this office ....
Dollars for the redemption of .... (describe property) .... which ....
withdrawn or forfeited by the collector of this county on (insert date) for the
nonpayment of .... installment of special
You are hereby authorized and ordered to cancel from the records and
files in your office that withdrawal or forfeiture, and issue your
certificate of redemption and cancellation.
(insert name of city, village, or incorporated town).
By .... (proper officer).
(Source: P.A. 91-357, eff. 7-29-99