APPLICATION FOR A PUBLIC AUCTION OF A CERTIFICATE OF OPTION FOR TREASURER'S DEED TO THE COUNTY TREASURER OF ____________ COUNTY, COLORADO:
The undersigned, as the holder of Treasurer's Tax Lien Sale Certificate of Purchase No. ________ issued pursuant to the tax lien sale held on the ____ day of ________, 20__, for the taxes and/or special assessments for the tax year ______ hereby request that you, as County Treasurer, give notice and take such proceedings as are required by 39-11.5-102, C.R.S., so that the undersigned may begin the process to obtain a Treasurer's Deed to the property described in said Treasurer's Tax Lien Sale Certificate, more particularly described as follows, to-wit:
LEGAL DESCRIPTION:
situated in the County of ____________, State of Colorado.
PROPERTY ADDRESS: __________
SCHEDULE NUMBER: __________
PARCEL NUMBER: ___________
CURRENT ASSESSED OWNER: ___________
T.D. REFERENCE NUMBER: ___________
THE AMOUNT OF THE OUTSTANDING INVESTMENT BALANCE OF THE TAX LIEN AS OF THE DATE OF THE FILING OF THE APPLICATION FOR PUBLIC AUCTION: ___________
LAWFUL HOLDER NAME: ___________
ADDRESS OR PO BOX: ___________
CITY/STATE/ZIP CODE: ___________
COUNTY OF RESIDENCE: ___________
LAWFUL HOLDER NAME: ___________
LAWFUL HOLDER SIGNATURE: ___________
DATE: ___________
C.R.S. § 39-11.5-102