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JANUARY SETTLEMENT 2019 TAX ROLL GENERAL PROPERTY TAXES ONLY (REAL AND PERSONAL) TAX DISTRICT: T. ADAMS COUNTY: ADAMS COMUN CODE: 01002 ACCT NO: 0001 PART I A. 1. PORTION OF STATE SPECIAL CHARGES UPON COUNTY 1. STATE TAXES B. 2. PORTION OF COUNTY TAX LEVIED OVER ENTIRE TAX DISTRICT 3. SPECIAL PURPOSE - HANDICAPPED SCHOOLS 4. TOTAL COUNTY TAXES / Sum of B1 - B3) 1. C. SPECIAL DISTRICT CODES & NAMES 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 1. OTHER SPECIAL PURPOSE DISTRICT TAXES D. 2. TOTAL TAX INCREMENT (except county environmental remediation tax increment) 3. COUNTY ENVIRONMENTAL TAX INCREMENT 4. OTHER STATE SPECIAL CHARGES 5. COUNTY SPECIAL CHARGES 6. ALL OTHER TOWN, VILLAGE, OR CITY TAXES 7. SURPLUS FUNDS APPLIED TO TAX ROLL G.6. OVERRUN - UNDERRUN 8. TOTAL TAX DISTRICT TAXES (Sum of D1-D7) 1. E. SCHOOL DISTRICT CODES & NAMES 2. 3. 4. 5. 6. 7. 8. 9. 10. 1. F. TECHNICAL COLLEGE DISTRICT CODES & NAMES 2. 3. G. 1. TOTAL GENERAL PROPERTY TAXES (Real and Personal) TAXES LEVIED PERCENT PROP. SHARE 0.00 2.65 932,978.92 0.00 932,981.57 018060 0005 FRIENDSHIP LAKE DISTRICT 010014 0017 SCH D OF ADAMS FRIENDSHIP AREA 1,018,827.40 01002 0013 MID-STATE TECHNICAL COLLEGE WRAP 127,273.21 COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4 * G-1 Col 4 must agree with line 5 in part II Total collections on hand December 31 (Real and Personal) Less: Collections of special charges Less: Collections of special assessments Less: Collections of special taxes Less: Collections of general property taxes (Line 1 minus Lines 2, 3, 4) Percentage (Line 5 divided by Line 6) Total general property taxes (Line G-1 from Part I) Total January payment to county (A.1 + B.4 + D.3 + D.5) (1) (2) (3) (4) (5)* (6) = (7) SEND A COPY OF THIS FORM TO THE COUNTY TREASURER PART II LGSAPP302WI 06-13 IPAS 0.00

JANUARY SETTLEMENT 2019 TAX ROLL GENERAL PROPERTY … · post them to the paper copy of the tax roll, use that information to calculate the percentage. Otherwise, follow the steps

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  • JANUARY SETTLEMENT 2019 TAX ROLLGENERAL PROPERTY TAXES ONLY (REAL AND PERSONAL)

    TAX DISTRICT: T. ADAMS COUNTY: ADAMS COMUN CODE: 01002 ACCT NO: 0001PART IA.

    1. PORTION OF STATE SPECIAL CHARGES UPON COUNTY1. STATE TAXES

    B.2. PORTION OF COUNTY TAX LEVIED OVER ENTIRE TAX DISTRICT3. SPECIAL PURPOSE - HANDICAPPED SCHOOLS4. TOTAL COUNTY TAXES / Sum of B1 - B3)

    1.C. SPECIAL DISTRICT CODES & NAMES

    2.3.4.5.6.7.8.9.

    10.11.

    1. OTHER SPECIAL PURPOSE DISTRICT TAXESD.2. TOTAL TAX INCREMENT (except county environmental remediation tax increment)3. COUNTY ENVIRONMENTAL TAX INCREMENT4. OTHER STATE SPECIAL CHARGES5. COUNTY SPECIAL CHARGES6. ALL OTHER TOWN, VILLAGE, OR CITY TAXES7. SURPLUS FUNDS APPLIED TO TAX ROLLG.6. OVERRUN - UNDERRUN

    8. TOTAL TAX DISTRICT TAXES (Sum of D1-D7)

    1.E. SCHOOL DISTRICT CODES & NAMES

    2. 3.4.5.6. 7.8. 9.

    10.

    1.F. TECHNICAL COLLEGE DISTRICT CODES & NAMES

    2.3.

    G. 1. TOTAL GENERAL PROPERTY TAXES (Real and Personal)

    TAXES LEVIED PERCENT PROP. SHARE

    0.00 2.65

    932,978.92 0.00

    932,981.57

    018060 0005 FRIENDSHIP LAKE DISTRICT

    010014 0017 SCH D OF ADAMS FRIENDSHIP AREA 1,018,827.40

    01002 0013 MID-STATE TECHNICAL COLLEGE WRAP 127,273.21

    COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4

    * G-1 Col 4 must agree with line 5 in part IITotal collections on hand December 31 (Real and Personal)Less: Collections of special chargesLess: Collections of special assessmentsLess: Collections of special taxesLess: Collections of general property taxes (Line 1 minus Lines 2, 3, 4)Percentage (Line 5 divided by Line 6)Total general property taxes (Line G-1 from Part I)Total January payment to county (A.1 + B.4 + D.3 + D.5)

    (1)(2)(3)(4)(5)*

    (6) = (7)

    SEND A COPY OF THIS FORM TO THE COUNTY TREASURER

    PART II

    LGSAPP302WI 06-13 IPAS

    0.00

  • Instructions - January SettlementMust be Completed by January 15

    1. Complete column 2, Taxes Levied, of Part I using your current Statement of taxes as a guide.

    2. Calculate the percentage of general property taxes collected in Part II. If you segregate tax collections on a tax 'blotter' or post them to the paper copy of the tax roll, use that information to calculate the percentage. Otherwise, follow the steps below.

    a. Enter the total collections on hand as of December 31 for all purposes on line 1. Do not include omitted property or s.70.43 corrections in this total.

    b. Enter the collections of special charges (include delinquent utility charges) on line 2.

    c. Enter the collections of special assessments on line 3.

    d. Enter the collections of special taxes (PFC, MFL, and occupational taxes) on line 4.

    e. Subtract lines 2, 3, and 4 from line 1. Enter the result on line 5.

    f. Enter the amount of Total General Property Taxes from line G-1. Column 2 of Part 1 above on line 6.

    g. Divide line 5 by line 6. Enter the result on line 7. (This is your percentage of collections.) Carry out to at least 7 places to right of decimal point.

    3. Calculate the proportionate share of general property taxes for each of your taxing jurisdictions. To do this, simply:

    a. Enter your percentage in Column 3 of Part I.

    b. Multiply the amounts in Column 2 by your percentage in Column 3. Enter your results in Column 4. Each amount is the proportionate share of general property taxes for the taxing jurisdiction.

    Pay this amount to taxing jurisdictions by January 15.

    4. Distribute the collections of special assessments, special charges and drainage taxes under Chapter 88, if they are collected for a taxing jurisdiction other than your tax district (town, village, city).

    5. You must pay a proportionate share of the 'other state special charges' and 'county special charges' shown in Section D of your Statement of Taxes to the County. These amounts are paid from your tax district's proportionate share of general property taxes (see NOTE).

    NOTE FOR STATE AND COUNTY SPECIAL CHARGES:

    If you have 'Other State Special Charges,' (Line D.4) and/or 'County Special Charges' (Line D.5), you must pay the proportionate share of these amounts to the county in addition to the proportionate share of the state and county tax levy. Therefore, your payment to the county will be the amount you calculate for state taxes on line A.1, column 4 plus the proportionate share of 'Other State Special Charges' on line D.4, column 5 plus County taxes line B.4, column 4 plus the proportionate share of 'County Special Charges' on line D.5, column 4 plus County Environmental Tax Increment on line D.3, column 4.

    If you need assistance completing this form or have questions about the January Settlement, contact the Department of Revenue, Bureau of Local Government Services at [email protected].

    KEEP THIS FORM FOR YOUR RECORDS AND SEND A COPY TO THE COUNTY TREASURER.

    LGSAPP302WI 06-13 IPAS

    MIRANDA CHRISTENSENTOWN OF ADAMSP.O. BOX 801 FRIENDSHIP WI 53934

  • JANUARY SETTLEMENT 2019 TAX ROLLGENERAL PROPERTY TAXES ONLY (REAL AND PERSONAL)

    TAX DISTRICT: T. BIG FLATS COUNTY: ADAMS COMUN CODE: 01004 ACCT NO: 0002PART IA.

    1. PORTION OF STATE SPECIAL CHARGES UPON COUNTY1. STATE TAXES

    B.2. PORTION OF COUNTY TAX LEVIED OVER ENTIRE TAX DISTRICT3. SPECIAL PURPOSE - HANDICAPPED SCHOOLS4. TOTAL COUNTY TAXES / Sum of B1 - B3)

    1.C. SPECIAL DISTRICT CODES & NAMES

    2.3.4.5.6.7.8.9.

    10.11.

    1. OTHER SPECIAL PURPOSE DISTRICT TAXESD.2. TOTAL TAX INCREMENT (except county environmental remediation tax increment)3. COUNTY ENVIRONMENTAL TAX INCREMENT4. OTHER STATE SPECIAL CHARGES5. COUNTY SPECIAL CHARGES6. ALL OTHER TOWN, VILLAGE, OR CITY TAXES7. SURPLUS FUNDS APPLIED TO TAX ROLLG.6. OVERRUN - UNDERRUN

    8. TOTAL TAX DISTRICT TAXES (Sum of D1-D7)

    1.E. SCHOOL DISTRICT CODES & NAMES

    2. 3.4.5.6. 7.8. 9.

    10.

    1.F. TECHNICAL COLLEGE DISTRICT CODES & NAMES

    2.3.

    G. 1. TOTAL GENERAL PROPERTY TAXES (Real and Personal)

    TAXES LEVIED PERCENT PROP. SHARE

    0.00 2.03

    712,950.32 0.00

    712,952.35

    010014 0017 SCH D OF ADAMS FRIENDSHIP AREA 778,552.77

    01004 0013 MID-STATE TECHNICAL COLLEGE WRAP 97,257.80

    COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4

    * G-1 Col 4 must agree with line 5 in part IITotal collections on hand December 31 (Real and Personal)Less: Collections of special chargesLess: Collections of special assessmentsLess: Collections of special taxesLess: Collections of general property taxes (Line 1 minus Lines 2, 3, 4)Percentage (Line 5 divided by Line 6)Total general property taxes (Line G-1 from Part I)Total January payment to county (A.1 + B.4 + D.3 + D.5)

    (1)(2)(3)(4)(5)*

    (6) = (7)

    SEND A COPY OF THIS FORM TO THE COUNTY TREASURER

    PART II

    LGSAPP302WI 06-13 IPAS

  • Instructions - January SettlementMust be Completed by January 15

    1. Complete column 2, Taxes Levied, of Part I using your current Statement of taxes as a guide.

    2. Calculate the percentage of general property taxes collected in Part II. If you segregate tax collections on a tax 'blotter' or post them to the paper copy of the tax roll, use that information to calculate the percentage. Otherwise, follow the steps below.

    a. Enter the total collections on hand as of December 31 for all purposes on line 1. Do not include omitted property or s.70.43 corrections in this total.

    b. Enter the collections of special charges (include delinquent utility charges) on line 2.

    c. Enter the collections of special assessments on line 3.

    d. Enter the collections of special taxes (PFC, MFL, and occupational taxes) on line 4.

    e. Subtract lines 2, 3, and 4 from line 1. Enter the result on line 5.

    f. Enter the amount of Total General Property Taxes from line G-1. Column 2 of Part 1 above on line 6.

    g. Divide line 5 by line 6. Enter the result on line 7. (This is your percentage of collections.) Carry out to at least 7 places to right of decimal point.

    3. Calculate the proportionate share of general property taxes for each of your taxing jurisdictions. To do this, simply:

    a. Enter your percentage in Column 3 of Part I.

    b. Multiply the amounts in Column 2 by your percentage in Column 3. Enter your results in Column 4. Each amount is the proportionate share of general property taxes for the taxing jurisdiction.

    Pay this amount to taxing jurisdictions by January 15.

    4. Distribute the collections of special assessments, special charges and drainage taxes under Chapter 88, if they are collected for a taxing jurisdiction other than your tax district (town, village, city).

    5. You must pay a proportionate share of the 'other state special charges' and 'county special charges' shown in Section D of your Statement of Taxes to the County. These amounts are paid from your tax district's proportionate share of general property taxes (see NOTE).

    NOTE FOR STATE AND COUNTY SPECIAL CHARGES:

    If you have 'Other State Special Charges,' (Line D.4) and/or 'County Special Charges' (Line D.5), you must pay the proportionate share of these amounts to the county in addition to the proportionate share of the state and county tax levy. Therefore, your payment to the county will be the amount you calculate for state taxes on line A.1, column 4 plus the proportionate share of 'Other State Special Charges' on line D.4, column 5 plus County taxes line B.4, column 4 plus the proportionate share of 'County Special Charges' on line D.5, column 4 plus County Environmental Tax Increment on line D.3, column 4.

    If you need assistance completing this form or have questions about the January Settlement, contact the Department of Revenue, Bureau of Local Government Services at [email protected].

    KEEP THIS FORM FOR YOUR RECORDS AND SEND A COPY TO THE COUNTY TREASURER.

    LGSAPP302WI 06-13 IPAS

    MARY O'NEILTOWN OF BIG FLATS733 COUNTY RD C HANCOCK WI 54943-9558

  • JANUARY SETTLEMENT 2019 TAX ROLLGENERAL PROPERTY TAXES ONLY (REAL AND PERSONAL)

    TAX DISTRICT: T. COLBURN COUNTY: ADAMS COMUN CODE: 01006 ACCT NO: 0003PART IA.

    1. PORTION OF STATE SPECIAL CHARGES UPON COUNTY1. STATE TAXES

    B.2. PORTION OF COUNTY TAX LEVIED OVER ENTIRE TAX DISTRICT3. SPECIAL PURPOSE - HANDICAPPED SCHOOLS4. TOTAL COUNTY TAXES / Sum of B1 - B3)

    1.C. SPECIAL DISTRICT CODES & NAMES

    2.3.4.5.6.7.8.9.

    10.11.

    1. OTHER SPECIAL PURPOSE DISTRICT TAXESD.2. TOTAL TAX INCREMENT (except county environmental remediation tax increment)3. COUNTY ENVIRONMENTAL TAX INCREMENT4. OTHER STATE SPECIAL CHARGES5. COUNTY SPECIAL CHARGES6. ALL OTHER TOWN, VILLAGE, OR CITY TAXES7. SURPLUS FUNDS APPLIED TO TAX ROLLG.6. OVERRUN - UNDERRUN

    8. TOTAL TAX DISTRICT TAXES (Sum of D1-D7)

    1.E. SCHOOL DISTRICT CODES & NAMES

    2. 3.4.5.6. 7.8. 9.

    10.

    1.F. TECHNICAL COLLEGE DISTRICT CODES & NAMES

    2.3.

    G. 1. TOTAL GENERAL PROPERTY TAXES (Real and Personal)

    TAXES LEVIED PERCENT PROP. SHARE

    0.00 1.12

    393,261.52 0.00

    393,262.64

    010014396335694375

    001702320429

    SCH D OF ADAMS FRIENDSHIP AREASCH D OF WESTFIELDSCH D OF TRI-COUNTY AREA (PLAINFIELD)

    425,562.51 703.00

    2,877.08

    01006 0013 MID-STATE TECHNICAL COLLEGE WRAP 53,647.15

    COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4

    * G-1 Col 4 must agree with line 5 in part IITotal collections on hand December 31 (Real and Personal)Less: Collections of special chargesLess: Collections of special assessmentsLess: Collections of special taxesLess: Collections of general property taxes (Line 1 minus Lines 2, 3, 4)Percentage (Line 5 divided by Line 6)Total general property taxes (Line G-1 from Part I)Total January payment to county (A.1 + B.4 + D.3 + D.5)

    (1)(2)(3)(4)(5)*

    (6) = (7)

    SEND A COPY OF THIS FORM TO THE COUNTY TREASURER

    PART II

    LGSAPP302WI 06-13 IPAS

  • Instructions - January SettlementMust be Completed by January 15

    1. Complete column 2, Taxes Levied, of Part I using your current Statement of taxes as a guide.

    2. Calculate the percentage of general property taxes collected in Part II. If you segregate tax collections on a tax 'blotter' or post them to the paper copy of the tax roll, use that information to calculate the percentage. Otherwise, follow the steps below.

    a. Enter the total collections on hand as of December 31 for all purposes on line 1. Do not include omitted property or s.70.43 corrections in this total.

    b. Enter the collections of special charges (include delinquent utility charges) on line 2.

    c. Enter the collections of special assessments on line 3.

    d. Enter the collections of special taxes (PFC, MFL, and occupational taxes) on line 4.

    e. Subtract lines 2, 3, and 4 from line 1. Enter the result on line 5.

    f. Enter the amount of Total General Property Taxes from line G-1. Column 2 of Part 1 above on line 6.

    g. Divide line 5 by line 6. Enter the result on line 7. (This is your percentage of collections.) Carry out to at least 7 places to right of decimal point.

    3. Calculate the proportionate share of general property taxes for each of your taxing jurisdictions. To do this, simply:

    a. Enter your percentage in Column 3 of Part I.

    b. Multiply the amounts in Column 2 by your percentage in Column 3. Enter your results in Column 4. Each amount is the proportionate share of general property taxes for the taxing jurisdiction.

    Pay this amount to taxing jurisdictions by January 15.

    4. Distribute the collections of special assessments, special charges and drainage taxes under Chapter 88, if they are collected for a taxing jurisdiction other than your tax district (town, village, city).

    5. You must pay a proportionate share of the 'other state special charges' and 'county special charges' shown in Section D of your Statement of Taxes to the County. These amounts are paid from your tax district's proportionate share of general property taxes (see NOTE).

    NOTE FOR STATE AND COUNTY SPECIAL CHARGES:

    If you have 'Other State Special Charges,' (Line D.4) and/or 'County Special Charges' (Line D.5), you must pay the proportionate share of these amounts to the county in addition to the proportionate share of the state and county tax levy. Therefore, your payment to the county will be the amount you calculate for state taxes on line A.1, column 4 plus the proportionate share of 'Other State Special Charges' on line D.4, column 5 plus County taxes line B.4, column 4 plus the proportionate share of 'County Special Charges' on line D.5, column 4 plus County Environmental Tax Increment on line D.3, column 4.

    If you need assistance completing this form or have questions about the January Settlement, contact the Department of Revenue, Bureau of Local Government Services at [email protected].

    KEEP THIS FORM FOR YOUR RECORDS AND SEND A COPY TO THE COUNTY TREASURER.

    LGSAPP302WI 06-13 IPAS

    TERRI HORACEKTOWN OF COLBURN592 BIG HORN AVENUE HANCOCK WI 54943-9536

  • JANUARY SETTLEMENT 2019 TAX ROLLGENERAL PROPERTY TAXES ONLY (REAL AND PERSONAL)

    TAX DISTRICT: T. DELL PRAIRIE COUNTY: ADAMS COMUN CODE: 01008 ACCT NO: 0004PART IA.

    1. PORTION OF STATE SPECIAL CHARGES UPON COUNTY1. STATE TAXES

    B.2. PORTION OF COUNTY TAX LEVIED OVER ENTIRE TAX DISTRICT3. SPECIAL PURPOSE - HANDICAPPED SCHOOLS4. TOTAL COUNTY TAXES / Sum of B1 - B3)

    1.C. SPECIAL DISTRICT CODES & NAMES

    2.3.4.5.6.7.8.9.

    10.11.

    1. OTHER SPECIAL PURPOSE DISTRICT TAXESD.2. TOTAL TAX INCREMENT (except county environmental remediation tax increment)3. COUNTY ENVIRONMENTAL TAX INCREMENT4. OTHER STATE SPECIAL CHARGES5. COUNTY SPECIAL CHARGES6. ALL OTHER TOWN, VILLAGE, OR CITY TAXES7. SURPLUS FUNDS APPLIED TO TAX ROLLG.6. OVERRUN - UNDERRUN

    8. TOTAL TAX DISTRICT TAXES (Sum of D1-D7)

    1.E. SCHOOL DISTRICT CODES & NAMES

    2. 3.4.5.6. 7.8. 9.

    10.

    1.F. TECHNICAL COLLEGE DISTRICT CODES & NAMES

    2.3.

    G. 1. TOTAL GENERAL PROPERTY TAXES (Real and Personal)

    TAXES LEVIED PERCENT PROP. SHARE

    0.00 3.65

    1,284,505.40 0.00

    1,284,509.05

    018080 0561 FAWN LAKE PROTECTION DISTRICT

    566678 0338 SCH D OF WISCONSIN DELLS 1,529,216.90

    01008 0004 MADISON AREA TECHNICAL COLLEGE MADN 165,188.49

    COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4

    * G-1 Col 4 must agree with line 5 in part IITotal collections on hand December 31 (Real and Personal)Less: Collections of special chargesLess: Collections of special assessmentsLess: Collections of special taxesLess: Collections of general property taxes (Line 1 minus Lines 2, 3, 4)Percentage (Line 5 divided by Line 6)Total general property taxes (Line G-1 from Part I)Total January payment to county (A.1 + B.4 + D.3 + D.5)

    (1)(2)(3)(4)(5)*

    (6) = (7)

    SEND A COPY OF THIS FORM TO THE COUNTY TREASURER

    PART II

    LGSAPP302WI 06-13 IPAS

    6,912.00

  • Instructions - January SettlementMust be Completed by January 15

    1. Complete column 2, Taxes Levied, of Part I using your current Statement of taxes as a guide.

    2. Calculate the percentage of general property taxes collected in Part II. If you segregate tax collections on a tax 'blotter' or post them to the paper copy of the tax roll, use that information to calculate the percentage. Otherwise, follow the steps below.

    a. Enter the total collections on hand as of December 31 for all purposes on line 1. Do not include omitted property or s.70.43 corrections in this total.

    b. Enter the collections of special charges (include delinquent utility charges) on line 2.

    c. Enter the collections of special assessments on line 3.

    d. Enter the collections of special taxes (PFC, MFL, and occupational taxes) on line 4.

    e. Subtract lines 2, 3, and 4 from line 1. Enter the result on line 5.

    f. Enter the amount of Total General Property Taxes from line G-1. Column 2 of Part 1 above on line 6.

    g. Divide line 5 by line 6. Enter the result on line 7. (This is your percentage of collections.) Carry out to at least 7 places to right of decimal point.

    3. Calculate the proportionate share of general property taxes for each of your taxing jurisdictions. To do this, simply:

    a. Enter your percentage in Column 3 of Part I.

    b. Multiply the amounts in Column 2 by your percentage in Column 3. Enter your results in Column 4. Each amount is the proportionate share of general property taxes for the taxing jurisdiction.

    Pay this amount to taxing jurisdictions by January 15.

    4. Distribute the collections of special assessments, special charges and drainage taxes under Chapter 88, if they are collected for a taxing jurisdiction other than your tax district (town, village, city).

    5. You must pay a proportionate share of the 'other state special charges' and 'county special charges' shown in Section D of your Statement of Taxes to the County. These amounts are paid from your tax district's proportionate share of general property taxes (see NOTE).

    NOTE FOR STATE AND COUNTY SPECIAL CHARGES:

    If you have 'Other State Special Charges,' (Line D.4) and/or 'County Special Charges' (Line D.5), you must pay the proportionate share of these amounts to the county in addition to the proportionate share of the state and county tax levy. Therefore, your payment to the county will be the amount you calculate for state taxes on line A.1, column 4 plus the proportionate share of 'Other State Special Charges' on line D.4, column 5 plus County taxes line B.4, column 4 plus the proportionate share of 'County Special Charges' on line D.5, column 4 plus County Environmental Tax Increment on line D.3, column 4.

    If you need assistance completing this form or have questions about the January Settlement, contact the Department of Revenue, Bureau of Local Government Services at [email protected].

    KEEP THIS FORM FOR YOUR RECORDS AND SEND A COPY TO THE COUNTY TREASURER.

    LGSAPP302WI 06-13 IPAS

    JONI GEHRKETOWN OF DELL PRAIRIE1175 STATE ROAD 82 WISCONSIN DELLS WI 53965

  • JANUARY SETTLEMENT 2019 TAX ROLLGENERAL PROPERTY TAXES ONLY (REAL AND PERSONAL)

    TAX DISTRICT: T. EASTON COUNTY: ADAMS COMUN CODE: 01010 ACCT NO: 0005PART IA.

    1. PORTION OF STATE SPECIAL CHARGES UPON COUNTY1. STATE TAXES

    B.2. PORTION OF COUNTY TAX LEVIED OVER ENTIRE TAX DISTRICT3. SPECIAL PURPOSE - HANDICAPPED SCHOOLS4. TOTAL COUNTY TAXES / Sum of B1 - B3)

    1.C. SPECIAL DISTRICT CODES & NAMES

    2.3.4.5.6.7.8.9.

    10.11.

    1. OTHER SPECIAL PURPOSE DISTRICT TAXESD.2. TOTAL TAX INCREMENT (except county environmental remediation tax increment)3. COUNTY ENVIRONMENTAL TAX INCREMENT4. OTHER STATE SPECIAL CHARGES5. COUNTY SPECIAL CHARGES6. ALL OTHER TOWN, VILLAGE, OR CITY TAXES7. SURPLUS FUNDS APPLIED TO TAX ROLLG.6. OVERRUN - UNDERRUN

    8. TOTAL TAX DISTRICT TAXES (Sum of D1-D7)

    1.E. SCHOOL DISTRICT CODES & NAMES

    2. 3.4.5.6. 7.8. 9.

    10.

    1.F. TECHNICAL COLLEGE DISTRICT CODES & NAMES

    2.3.

    G. 1. TOTAL GENERAL PROPERTY TAXES (Real and Personal)

    TAXES LEVIED PERCENT PROP. SHARE

    0.00 1.82

    637,909.81 0.00

    637,911.63

    018020 0001 EASTON LAKE DISTRICT

    010014 0017 SCH D OF ADAMS FRIENDSHIP AREA 696,607.39

    01010 0013 MID-STATE TECHNICAL COLLEGE WRAP 87,021.08

    COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4

    * G-1 Col 4 must agree with line 5 in part IITotal collections on hand December 31 (Real and Personal)Less: Collections of special chargesLess: Collections of special assessmentsLess: Collections of special taxesLess: Collections of general property taxes (Line 1 minus Lines 2, 3, 4)Percentage (Line 5 divided by Line 6)Total general property taxes (Line G-1 from Part I)Total January payment to county (A.1 + B.4 + D.3 + D.5)

    (1)(2)(3)(4)(5)*

    (6) = (7)

    SEND A COPY OF THIS FORM TO THE COUNTY TREASURER

    PART II

    LGSAPP302WI 06-13 IPAS

    4,220.00

  • Instructions - January SettlementMust be Completed by January 15

    1. Complete column 2, Taxes Levied, of Part I using your current Statement of taxes as a guide.

    2. Calculate the percentage of general property taxes collected in Part II. If you segregate tax collections on a tax 'blotter' or post them to the paper copy of the tax roll, use that information to calculate the percentage. Otherwise, follow the steps below.

    a. Enter the total collections on hand as of December 31 for all purposes on line 1. Do not include omitted property or s.70.43 corrections in this total.

    b. Enter the collections of special charges (include delinquent utility charges) on line 2.

    c. Enter the collections of special assessments on line 3.

    d. Enter the collections of special taxes (PFC, MFL, and occupational taxes) on line 4.

    e. Subtract lines 2, 3, and 4 from line 1. Enter the result on line 5.

    f. Enter the amount of Total General Property Taxes from line G-1. Column 2 of Part 1 above on line 6.

    g. Divide line 5 by line 6. Enter the result on line 7. (This is your percentage of collections.) Carry out to at least 7 places to right of decimal point.

    3. Calculate the proportionate share of general property taxes for each of your taxing jurisdictions. To do this, simply:

    a. Enter your percentage in Column 3 of Part I.

    b. Multiply the amounts in Column 2 by your percentage in Column 3. Enter your results in Column 4. Each amount is the proportionate share of general property taxes for the taxing jurisdiction.

    Pay this amount to taxing jurisdictions by January 15.

    4. Distribute the collections of special assessments, special charges and drainage taxes under Chapter 88, if they are collected for a taxing jurisdiction other than your tax district (town, village, city).

    5. You must pay a proportionate share of the 'other state special charges' and 'county special charges' shown in Section D of your Statement of Taxes to the County. These amounts are paid from your tax district's proportionate share of general property taxes (see NOTE).

    NOTE FOR STATE AND COUNTY SPECIAL CHARGES:

    If you have 'Other State Special Charges,' (Line D.4) and/or 'County Special Charges' (Line D.5), you must pay the proportionate share of these amounts to the county in addition to the proportionate share of the state and county tax levy. Therefore, your payment to the county will be the amount you calculate for state taxes on line A.1, column 4 plus the proportionate share of 'Other State Special Charges' on line D.4, column 5 plus County taxes line B.4, column 4 plus the proportionate share of 'County Special Charges' on line D.5, column 4 plus County Environmental Tax Increment on line D.3, column 4.

    If you need assistance completing this form or have questions about the January Settlement, contact the Department of Revenue, Bureau of Local Government Services at [email protected].

    KEEP THIS FORM FOR YOUR RECORDS AND SEND A COPY TO THE COUNTY TREASURER.

    LGSAPP302WI 06-13 IPAS

    ANGELA LOCHNERTOWN OF EASTON935 COUNTY ROAD E DAMS WI 53910

  • JANUARY SETTLEMENT 2019 TAX ROLLGENERAL PROPERTY TAXES ONLY (REAL AND PERSONAL)

    TAX DISTRICT: T. JACKSON COUNTY: ADAMS COMUN CODE: 01012 ACCT NO: 0006PART IA.

    1. PORTION OF STATE SPECIAL CHARGES UPON COUNTY1. STATE TAXES

    B.2. PORTION OF COUNTY TAX LEVIED OVER ENTIRE TAX DISTRICT3. SPECIAL PURPOSE - HANDICAPPED SCHOOLS4. TOTAL COUNTY TAXES / Sum of B1 - B3)

    1.C. SPECIAL DISTRICT CODES & NAMES

    2.3.4.5.6.7.8.9.

    10.11.

    1. OTHER SPECIAL PURPOSE DISTRICT TAXESD.2. TOTAL TAX INCREMENT (except county environmental remediation tax increment)3. COUNTY ENVIRONMENTAL TAX INCREMENT4. OTHER STATE SPECIAL CHARGES5. COUNTY SPECIAL CHARGES6. ALL OTHER TOWN, VILLAGE, OR CITY TAXES7. SURPLUS FUNDS APPLIED TO TAX ROLLG.6. OVERRUN - UNDERRUN

    8. TOTAL TAX DISTRICT TAXES (Sum of D1-D7)

    1.E. SCHOOL DISTRICT CODES & NAMES

    2. 3.4.5.6. 7.8. 9.

    10.

    1.F. TECHNICAL COLLEGE DISTRICT CODES & NAMES

    2.3.

    G. 1. TOTAL GENERAL PROPERTY TAXES (Real and Personal)

    TAXES LEVIED PERCENT PROP. SHARE

    0.00 3.90

    1,370,995.48 0.00

    1,370,999.38

    018090018100018120

    056205730597

    PEPPERMILL LAKE MANAGEMENT DISTRICTJORDAN LAKE MANAGEMENT DISTRICTGOOSE LAKE WATERSHED DISTRICT

    010014396335566678

    001702320338

    SCH D OF ADAMS FRIENDSHIP AREASCH D OF WESTFIELDSCH D OF WISCONSIN DELLS

    533,859.07 454,641.00 501,949.99

    0101201012

    00040013

    MADISON AREA TECHNICAL COLLEGE MADNMID-STATE TECHNICAL COLLEGE WRAP

    54,221.45 129,509.16

    COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4

    * G-1 Col 4 must agree with line 5 in part IITotal collections on hand December 31 (Real and Personal)Less: Collections of special chargesLess: Collections of special assessmentsLess: Collections of special taxesLess: Collections of general property taxes (Line 1 minus Lines 2, 3, 4)Percentage (Line 5 divided by Line 6)Total general property taxes (Line G-1 from Part I)Total January payment to county (A.1 + B.4 + D.3 + D.5)

    (1)(2)(3)(4)(5)*

    (6) = (7)

    SEND A COPY OF THIS FORM TO THE COUNTY TREASURER

    PART II

    LGSAPP302WI 06-13 IPAS

    32,500.00 0.00

    29,462.00

  • Instructions - January SettlementMust be Completed by January 15

    1. Complete column 2, Taxes Levied, of Part I using your current Statement of taxes as a guide.

    2. Calculate the percentage of general property taxes collected in Part II. If you segregate tax collections on a tax 'blotter' or post them to the paper copy of the tax roll, use that information to calculate the percentage. Otherwise, follow the steps below.

    a. Enter the total collections on hand as of December 31 for all purposes on line 1. Do not include omitted property or s.70.43 corrections in this total.

    b. Enter the collections of special charges (include delinquent utility charges) on line 2.

    c. Enter the collections of special assessments on line 3.

    d. Enter the collections of special taxes (PFC, MFL, and occupational taxes) on line 4.

    e. Subtract lines 2, 3, and 4 from line 1. Enter the result on line 5.

    f. Enter the amount of Total General Property Taxes from line G-1. Column 2 of Part 1 above on line 6.

    g. Divide line 5 by line 6. Enter the result on line 7. (This is your percentage of collections.) Carry out to at least 7 places to right of decimal point.

    3. Calculate the proportionate share of general property taxes for each of your taxing jurisdictions. To do this, simply:

    a. Enter your percentage in Column 3 of Part I.

    b. Multiply the amounts in Column 2 by your percentage in Column 3. Enter your results in Column 4. Each amount is the proportionate share of general property taxes for the taxing jurisdiction.

    Pay this amount to taxing jurisdictions by January 15.

    4. Distribute the collections of special assessments, special charges and drainage taxes under Chapter 88, if they are collected for a taxing jurisdiction other than your tax district (town, village, city).

    5. You must pay a proportionate share of the 'other state special charges' and 'county special charges' shown in Section D of your Statement of Taxes to the County. These amounts are paid from your tax district's proportionate share of general property taxes (see NOTE).

    NOTE FOR STATE AND COUNTY SPECIAL CHARGES:

    If you have 'Other State Special Charges,' (Line D.4) and/or 'County Special Charges' (Line D.5), you must pay the proportionate share of these amounts to the county in addition to the proportionate share of the state and county tax levy. Therefore, your payment to the county will be the amount you calculate for state taxes on line A.1, column 4 plus the proportionate share of 'Other State Special Charges' on line D.4, column 5 plus County taxes line B.4, column 4 plus the proportionate share of 'County Special Charges' on line D.5, column 4 plus County Environmental Tax Increment on line D.3, column 4.

    If you need assistance completing this form or have questions about the January Settlement, contact the Department of Revenue, Bureau of Local Government Services at [email protected].

    KEEP THIS FORM FOR YOUR RECORDS AND SEND A COPY TO THE COUNTY TREASURER.

    LGSAPP302WI 06-13 IPAS

    CANDACE PEGLERTOWN OF JACKSON316 FISH CT OXFORD WI 53952-9655

  • JANUARY SETTLEMENT 2019 TAX ROLLGENERAL PROPERTY TAXES ONLY (REAL AND PERSONAL)

    TAX DISTRICT: T. LEOLA COUNTY: ADAMS COMUN CODE: 01014 ACCT NO: 0007PART IA.

    1. PORTION OF STATE SPECIAL CHARGES UPON COUNTY1. STATE TAXES

    B.2. PORTION OF COUNTY TAX LEVIED OVER ENTIRE TAX DISTRICT3. SPECIAL PURPOSE - HANDICAPPED SCHOOLS4. TOTAL COUNTY TAXES / Sum of B1 - B3)

    1.C. SPECIAL DISTRICT CODES & NAMES

    2.3.4.5.6.7.8.9.

    10.11.

    1. OTHER SPECIAL PURPOSE DISTRICT TAXESD.2. TOTAL TAX INCREMENT (except county environmental remediation tax increment)3. COUNTY ENVIRONMENTAL TAX INCREMENT4. OTHER STATE SPECIAL CHARGES5. COUNTY SPECIAL CHARGES6. ALL OTHER TOWN, VILLAGE, OR CITY TAXES7. SURPLUS FUNDS APPLIED TO TAX ROLLG.6. OVERRUN - UNDERRUN

    8. TOTAL TAX DISTRICT TAXES (Sum of D1-D7)

    1.E. SCHOOL DISTRICT CODES & NAMES

    2. 3.4.5.6. 7.8. 9.

    10.

    1.F. TECHNICAL COLLEGE DISTRICT CODES & NAMES

    2.3.

    G. 1. TOTAL GENERAL PROPERTY TAXES (Real and Personal)

    TAXES LEVIED PERCENT PROP. SHARE

    0.00 0.77

    272,358.78 0.00

    272,359.55

    694375 0429 SCH D OF TRI-COUNTY AREA (PLAINFIELD) 275,375.73

    01014 0013 MID-STATE TECHNICAL COLLEGE WRAP 37,154.08

    COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4

    * G-1 Col 4 must agree with line 5 in part IITotal collections on hand December 31 (Real and Personal)Less: Collections of special chargesLess: Collections of special assessmentsLess: Collections of special taxesLess: Collections of general property taxes (Line 1 minus Lines 2, 3, 4)Percentage (Line 5 divided by Line 6)Total general property taxes (Line G-1 from Part I)Total January payment to county (A.1 + B.4 + D.3 + D.5)

    (1)(2)(3)(4)(5)*

    (6) = (7)

    SEND A COPY OF THIS FORM TO THE COUNTY TREASURER

    PART II

    LGSAPP302WI 06-13 IPAS

  • Instructions - January SettlementMust be Completed by January 15

    1. Complete column 2, Taxes Levied, of Part I using your current Statement of taxes as a guide.

    2. Calculate the percentage of general property taxes collected in Part II. If you segregate tax collections on a tax 'blotter' or post them to the paper copy of the tax roll, use that information to calculate the percentage. Otherwise, follow the steps below.

    a. Enter the total collections on hand as of December 31 for all purposes on line 1. Do not include omitted property or s.70.43 corrections in this total.

    b. Enter the collections of special charges (include delinquent utility charges) on line 2.

    c. Enter the collections of special assessments on line 3.

    d. Enter the collections of special taxes (PFC, MFL, and occupational taxes) on line 4.

    e. Subtract lines 2, 3, and 4 from line 1. Enter the result on line 5.

    f. Enter the amount of Total General Property Taxes from line G-1. Column 2 of Part 1 above on line 6.

    g. Divide line 5 by line 6. Enter the result on line 7. (This is your percentage of collections.) Carry out to at least 7 places to right of decimal point.

    3. Calculate the proportionate share of general property taxes for each of your taxing jurisdictions. To do this, simply:

    a. Enter your percentage in Column 3 of Part I.

    b. Multiply the amounts in Column 2 by your percentage in Column 3. Enter your results in Column 4. Each amount is the proportionate share of general property taxes for the taxing jurisdiction.

    Pay this amount to taxing jurisdictions by January 15.

    4. Distribute the collections of special assessments, special charges and drainage taxes under Chapter 88, if they are collected for a taxing jurisdiction other than your tax district (town, village, city).

    5. You must pay a proportionate share of the 'other state special charges' and 'county special charges' shown in Section D of your Statement of Taxes to the County. These amounts are paid from your tax district's proportionate share of general property taxes (see NOTE).

    NOTE FOR STATE AND COUNTY SPECIAL CHARGES:

    If you have 'Other State Special Charges,' (Line D.4) and/or 'County Special Charges' (Line D.5), you must pay the proportionate share of these amounts to the county in addition to the proportionate share of the state and county tax levy. Therefore, your payment to the county will be the amount you calculate for state taxes on line A.1, column 4 plus the proportionate share of 'Other State Special Charges' on line D.4, column 5 plus County taxes line B.4, column 4 plus the proportionate share of 'County Special Charges' on line D.5, column 4 plus County Environmental Tax Increment on line D.3, column 4.

    If you need assistance completing this form or have questions about the January Settlement, contact the Department of Revenue, Bureau of Local Government Services at [email protected].

    KEEP THIS FORM FOR YOUR RECORDS AND SEND A COPY TO THE COUNTY TREASURER.

    LGSAPP302WI 06-13 IPAS

    NANCY GASPERICTOWN OF LEOLA127 APACHE LANE PLAINFIELD WI 54966-9587

  • JANUARY SETTLEMENT 2019 TAX ROLLGENERAL PROPERTY TAXES ONLY (REAL AND PERSONAL)

    TAX DISTRICT: T. LINCOLN COUNTY: ADAMS COMUN CODE: 01016 ACCT NO: 0008PART IA.

    1. PORTION OF STATE SPECIAL CHARGES UPON COUNTY1. STATE TAXES

    B.2. PORTION OF COUNTY TAX LEVIED OVER ENTIRE TAX DISTRICT3. SPECIAL PURPOSE - HANDICAPPED SCHOOLS4. TOTAL COUNTY TAXES / Sum of B1 - B3)

    1.C. SPECIAL DISTRICT CODES & NAMES

    2.3.4.5.6.7.8.9.

    10.11.

    1. OTHER SPECIAL PURPOSE DISTRICT TAXESD.2. TOTAL TAX INCREMENT (except county environmental remediation tax increment)3. COUNTY ENVIRONMENTAL TAX INCREMENT4. OTHER STATE SPECIAL CHARGES5. COUNTY SPECIAL CHARGES6. ALL OTHER TOWN, VILLAGE, OR CITY TAXES7. SURPLUS FUNDS APPLIED TO TAX ROLLG.6. OVERRUN - UNDERRUN

    8. TOTAL TAX DISTRICT TAXES (Sum of D1-D7)

    1.E. SCHOOL DISTRICT CODES & NAMES

    2. 3.4.5.6. 7.8. 9.

    10.

    1.F. TECHNICAL COLLEGE DISTRICT CODES & NAMES

    2.3.

    G. 1. TOTAL GENERAL PROPERTY TAXES (Real and Personal)

    TAXES LEVIED PERCENT PROP. SHARE

    0.00 0.85

    300,166.11 0.00

    300,166.96

    010014 0017 SCH D OF ADAMS FRIENDSHIP AREA 327,786.04

    01016 0013 MID-STATE TECHNICAL COLLEGE WRAP 40,947.45

    COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4

    * G-1 Col 4 must agree with line 5 in part IITotal collections on hand December 31 (Real and Personal)Less: Collections of special chargesLess: Collections of special assessmentsLess: Collections of special taxesLess: Collections of general property taxes (Line 1 minus Lines 2, 3, 4)Percentage (Line 5 divided by Line 6)Total general property taxes (Line G-1 from Part I)Total January payment to county (A.1 + B.4 + D.3 + D.5)

    (1)(2)(3)(4)(5)*

    (6) = (7)

    SEND A COPY OF THIS FORM TO THE COUNTY TREASURER

    PART II

    LGSAPP302WI 06-13 IPAS

  • Instructions - January SettlementMust be Completed by January 15

    1. Complete column 2, Taxes Levied, of Part I using your current Statement of taxes as a guide.

    2. Calculate the percentage of general property taxes collected in Part II. If you segregate tax collections on a tax 'blotter' or post them to the paper copy of the tax roll, use that information to calculate the percentage. Otherwise, follow the steps below.

    a. Enter the total collections on hand as of December 31 for all purposes on line 1. Do not include omitted property or s.70.43 corrections in this total.

    b. Enter the collections of special charges (include delinquent utility charges) on line 2.

    c. Enter the collections of special assessments on line 3.

    d. Enter the collections of special taxes (PFC, MFL, and occupational taxes) on line 4.

    e. Subtract lines 2, 3, and 4 from line 1. Enter the result on line 5.

    f. Enter the amount of Total General Property Taxes from line G-1. Column 2 of Part 1 above on line 6.

    g. Divide line 5 by line 6. Enter the result on line 7. (This is your percentage of collections.) Carry out to at least 7 places to right of decimal point.

    3. Calculate the proportionate share of general property taxes for each of your taxing jurisdictions. To do this, simply:

    a. Enter your percentage in Column 3 of Part I.

    b. Multiply the amounts in Column 2 by your percentage in Column 3. Enter your results in Column 4. Each amount is the proportionate share of general property taxes for the taxing jurisdiction.

    Pay this amount to taxing jurisdictions by January 15.

    4. Distribute the collections of special assessments, special charges and drainage taxes under Chapter 88, if they are collected for a taxing jurisdiction other than your tax district (town, village, city).

    5. You must pay a proportionate share of the 'other state special charges' and 'county special charges' shown in Section D of your Statement of Taxes to the County. These amounts are paid from your tax district's proportionate share of general property taxes (see NOTE).

    NOTE FOR STATE AND COUNTY SPECIAL CHARGES:

    If you have 'Other State Special Charges,' (Line D.4) and/or 'County Special Charges' (Line D.5), you must pay the proportionate share of these amounts to the county in addition to the proportionate share of the state and county tax levy. Therefore, your payment to the county will be the amount you calculate for state taxes on line A.1, column 4 plus the proportionate share of 'Other State Special Charges' on line D.4, column 5 plus County taxes line B.4, column 4 plus the proportionate share of 'County Special Charges' on line D.5, column 4 plus County Environmental Tax Increment on line D.3, column 4.

    If you need assistance completing this form or have questions about the January Settlement, contact the Department of Revenue, Bureau of Local Government Services at [email protected].

    KEEP THIS FORM FOR YOUR RECORDS AND SEND A COPY TO THE COUNTY TREASURER.

    LGSAPP302WI 06-13 IPAS

    PATTI NELSONTOWN OF LINCOLN2205 4TH DR WESTFIELD WI 53964-9226

  • JANUARY SETTLEMENT 2019 TAX ROLLGENERAL PROPERTY TAXES ONLY (REAL AND PERSONAL)

    TAX DISTRICT: T. MONROE COUNTY: ADAMS COMUN CODE: 01018 ACCT NO: 0009PART IA.

    1. PORTION OF STATE SPECIAL CHARGES UPON COUNTY1. STATE TAXES

    B.2. PORTION OF COUNTY TAX LEVIED OVER ENTIRE TAX DISTRICT3. SPECIAL PURPOSE - HANDICAPPED SCHOOLS4. TOTAL COUNTY TAXES / Sum of B1 - B3)

    1.C. SPECIAL DISTRICT CODES & NAMES

    2.3.4.5.6.7.8.9.

    10.11.

    1. OTHER SPECIAL PURPOSE DISTRICT TAXESD.2. TOTAL TAX INCREMENT (except county environmental remediation tax increment)3. COUNTY ENVIRONMENTAL TAX INCREMENT4. OTHER STATE SPECIAL CHARGES5. COUNTY SPECIAL CHARGES6. ALL OTHER TOWN, VILLAGE, OR CITY TAXES7. SURPLUS FUNDS APPLIED TO TAX ROLLG.6. OVERRUN - UNDERRUN

    8. TOTAL TAX DISTRICT TAXES (Sum of D1-D7)

    1.E. SCHOOL DISTRICT CODES & NAMES

    2. 3.4.5.6. 7.8. 9.

    10.

    1.F. TECHNICAL COLLEGE DISTRICT CODES & NAMES

    2.3.

    G. 1. TOTAL GENERAL PROPERTY TAXES (Real and Personal)

    TAXES LEVIED PERCENT PROP. SHARE

    0.00 2.04

    718,399.01 0.00

    718,401.05

    010014 0017 SCH D OF ADAMS FRIENDSHIP AREA 784,502.82

    01018 0013 MID-STATE TECHNICAL COLLEGE WRAP 98,001.09

    COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4

    * G-1 Col 4 must agree with line 5 in part IITotal collections on hand December 31 (Real and Personal)Less: Collections of special chargesLess: Collections of special assessmentsLess: Collections of special taxesLess: Collections of general property taxes (Line 1 minus Lines 2, 3, 4)Percentage (Line 5 divided by Line 6)Total general property taxes (Line G-1 from Part I)Total January payment to county (A.1 + B.4 + D.3 + D.5)

    (1)(2)(3)(4)(5)*

    (6) = (7)

    SEND A COPY OF THIS FORM TO THE COUNTY TREASURER

    PART II

    LGSAPP302WI 06-13 IPAS

  • Instructions - January SettlementMust be Completed by January 15

    1. Complete column 2, Taxes Levied, of Part I using your current Statement of taxes as a guide.

    2. Calculate the percentage of general property taxes collected in Part II. If you segregate tax collections on a tax 'blotter' or post them to the paper copy of the tax roll, use that information to calculate the percentage. Otherwise, follow the steps below.

    a. Enter the total collections on hand as of December 31 for all purposes on line 1. Do not include omitted property or s.70.43 corrections in this total.

    b. Enter the collections of special charges (include delinquent utility charges) on line 2.

    c. Enter the collections of special assessments on line 3.

    d. Enter the collections of special taxes (PFC, MFL, and occupational taxes) on line 4.

    e. Subtract lines 2, 3, and 4 from line 1. Enter the result on line 5.

    f. Enter the amount of Total General Property Taxes from line G-1. Column 2 of Part 1 above on line 6.

    g. Divide line 5 by line 6. Enter the result on line 7. (This is your percentage of collections.) Carry out to at least 7 places to right of decimal point.

    3. Calculate the proportionate share of general property taxes for each of your taxing jurisdictions. To do this, simply:

    a. Enter your percentage in Column 3 of Part I.

    b. Multiply the amounts in Column 2 by your percentage in Column 3. Enter your results in Column 4. Each amount is the proportionate share of general property taxes for the taxing jurisdiction.

    Pay this amount to taxing jurisdictions by January 15.

    4. Distribute the collections of special assessments, special charges and drainage taxes under Chapter 88, if they are collected for a taxing jurisdiction other than your tax district (town, village, city).

    5. You must pay a proportionate share of the 'other state special charges' and 'county special charges' shown in Section D of your Statement of Taxes to the County. These amounts are paid from your tax district's proportionate share of general property taxes (see NOTE).

    NOTE FOR STATE AND COUNTY SPECIAL CHARGES:

    If you have 'Other State Special Charges,' (Line D.4) and/or 'County Special Charges' (Line D.5), you must pay the proportionate share of these amounts to the county in addition to the proportionate share of the state and county tax levy. Therefore, your payment to the county will be the amount you calculate for state taxes on line A.1, column 4 plus the proportionate share of 'Other State Special Charges' on line D.4, column 5 plus County taxes line B.4, column 4 plus the proportionate share of 'County Special Charges' on line D.5, column 4 plus County Environmental Tax Increment on line D.3, column 4.

    If you need assistance completing this form or have questions about the January Settlement, contact the Department of Revenue, Bureau of Local Government Services at [email protected].

    KEEP THIS FORM FOR YOUR RECORDS AND SEND A COPY TO THE COUNTY TREASURER.

    LGSAPP302WI 06-13 IPAS

    DARLENE FERGUSONTOWN OF MONROE1100 17TH DR ARKDALE WI 54613-9766

  • JANUARY SETTLEMENT 2019 TAX ROLLGENERAL PROPERTY TAXES ONLY (REAL AND PERSONAL)

    TAX DISTRICT: T. NEW CHESTER COUNTY: ADAMS COMUN CODE: 01020 ACCT NO: 0010PART IA.

    1. PORTION OF STATE SPECIAL CHARGES UPON COUNTY1. STATE TAXES

    B.2. PORTION OF COUNTY TAX LEVIED OVER ENTIRE TAX DISTRICT3. SPECIAL PURPOSE - HANDICAPPED SCHOOLS4. TOTAL COUNTY TAXES / Sum of B1 - B3)

    1.C. SPECIAL DISTRICT CODES & NAMES

    2.3.4.5.6.7.8.9.

    10.11.

    1. OTHER SPECIAL PURPOSE DISTRICT TAXESD.2. TOTAL TAX INCREMENT (except county environmental remediation tax increment)3. COUNTY ENVIRONMENTAL TAX INCREMENT4. OTHER STATE SPECIAL CHARGES5. COUNTY SPECIAL CHARGES6. ALL OTHER TOWN, VILLAGE, OR CITY TAXES7. SURPLUS FUNDS APPLIED TO TAX ROLLG.6. OVERRUN - UNDERRUN

    8. TOTAL TAX DISTRICT TAXES (Sum of D1-D7)

    1.E. SCHOOL DISTRICT CODES & NAMES

    2. 3.4.5.6. 7.8. 9.

    10.

    1.F. TECHNICAL COLLEGE DISTRICT CODES & NAMES

    2.3.

    G. 1. TOTAL GENERAL PROPERTY TAXES (Real and Personal)

    TAXES LEVIED PERCENT PROP. SHARE

    0.00 1.71

    599,279.99 0.00

    599,281.70

    018030018110

    00020596

    PATRICKS LAKE DISTRICTMCGINNIS PUBLIC INLAND LAKE AND REHAB DI

    010014396335

    00170232

    SCH D OF ADAMS FRIENDSHIP AREASCH D OF WESTFIELD

    648,821.82 5,064.00

    01020 0013 MID-STATE TECHNICAL COLLEGE WRAP 81,751.35

    COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4

    * G-1 Col 4 must agree with line 5 in part IITotal collections on hand December 31 (Real and Personal)Less: Collections of special chargesLess: Collections of special assessmentsLess: Collections of special taxesLess: Collections of general property taxes (Line 1 minus Lines 2, 3, 4)Percentage (Line 5 divided by Line 6)Total general property taxes (Line G-1 from Part I)Total January payment to county (A.1 + B.4 + D.3 + D.5)

    (1)(2)(3)(4)(5)*

    (6) = (7)

    SEND A COPY OF THIS FORM TO THE COUNTY TREASURER

    PART II

    LGSAPP302WI 06-13 IPAS

    0.00 8,393.00

  • Instructions - January SettlementMust be Completed by January 15

    1. Complete column 2, Taxes Levied, of Part I using your current Statement of taxes as a guide.

    2. Calculate the percentage of general property taxes collected in Part II. If you segregate tax collections on a tax 'blotter' or post them to the paper copy of the tax roll, use that information to calculate the percentage. Otherwise, follow the steps below.

    a. Enter the total collections on hand as of December 31 for all purposes on line 1. Do not include omitted property or s.70.43 corrections in this total.

    b. Enter the collections of special charges (include delinquent utility charges) on line 2.

    c. Enter the collections of special assessments on line 3.

    d. Enter the collections of special taxes (PFC, MFL, and occupational taxes) on line 4.

    e. Subtract lines 2, 3, and 4 from line 1. Enter the result on line 5.

    f. Enter the amount of Total General Property Taxes from line G-1. Column 2 of Part 1 above on line 6.

    g. Divide line 5 by line 6. Enter the result on line 7. (This is your percentage of collections.) Carry out to at least 7 places to right of decimal point.

    3. Calculate the proportionate share of general property taxes for each of your taxing jurisdictions. To do this, simply:

    a. Enter your percentage in Column 3 of Part I.

    b. Multiply the amounts in Column 2 by your percentage in Column 3. Enter your results in Column 4. Each amount is the proportionate share of general property taxes for the taxing jurisdiction.

    Pay this amount to taxing jurisdictions by January 15.

    4. Distribute the collections of special assessments, special charges and drainage taxes under Chapter 88, if they are collected for a taxing jurisdiction other than your tax district (town, village, city).

    5. You must pay a proportionate share of the 'other state special charges' and 'county special charges' shown in Section D of your Statement of Taxes to the County. These amounts are paid from your tax district's proportionate share of general property taxes (see NOTE).

    NOTE FOR STATE AND COUNTY SPECIAL CHARGES:

    If you have 'Other State Special Charges,' (Line D.4) and/or 'County Special Charges' (Line D.5), you must pay the proportionate share of these amounts to the county in addition to the proportionate share of the state and county tax levy. Therefore, your payment to the county will be the amount you calculate for state taxes on line A.1, column 4 plus the proportionate share of 'Other State Special Charges' on line D.4, column 5 plus County taxes line B.4, column 4 plus the proportionate share of 'County Special Charges' on line D.5, column 4 plus County Environmental Tax Increment on line D.3, column 4.

    If you need assistance completing this form or have questions about the January Settlement, contact the Department of Revenue, Bureau of Local Government Services at [email protected].

    KEEP THIS FORM FOR YOUR RECORDS AND SEND A COPY TO THE COUNTY TREASURER.

    LGSAPP302WI 06-13 IPAS

    LAURA SOLISTOWN OF NEW CHESTERP.O. BOX 69 GRAND MARSH WI 53936-0069

  • JANUARY SETTLEMENT 2019 TAX ROLLGENERAL PROPERTY TAXES ONLY (REAL AND PERSONAL)

    TAX DISTRICT: T. NEW HAVEN COUNTY: ADAMS COMUN CODE: 01022 ACCT NO: 0011PART IA.

    1. PORTION OF STATE SPECIAL CHARGES UPON COUNTY1. STATE TAXES

    B.2. PORTION OF COUNTY TAX LEVIED OVER ENTIRE TAX DISTRICT3. SPECIAL PURPOSE - HANDICAPPED SCHOOLS4. TOTAL COUNTY TAXES / Sum of B1 - B3)

    1.C. SPECIAL DISTRICT CODES & NAMES

    2.3.4.5.6.7.8.9.

    10.11.

    1. OTHER SPECIAL PURPOSE DISTRICT TAXESD.2. TOTAL TAX INCREMENT (except county environmental remediation tax increment)3. COUNTY ENVIRONMENTAL TAX INCREMENT4. OTHER STATE SPECIAL CHARGES5. COUNTY SPECIAL CHARGES6. ALL OTHER TOWN, VILLAGE, OR CITY TAXES7. SURPLUS FUNDS APPLIED TO TAX ROLLG.6. OVERRUN - UNDERRUN

    8. TOTAL TAX DISTRICT TAXES (Sum of D1-D7)

    1.E. SCHOOL DISTRICT CODES & NAMES

    2. 3.4.5.6. 7.8. 9.

    10.

    1.F. TECHNICAL COLLEGE DISTRICT CODES & NAMES

    2.3.

    G. 1. TOTAL GENERAL PROPERTY TAXES (Real and Personal)

    TAXES LEVIED PERCENT PROP. SHARE

    0.00 1.22

    428,047.81 0.00

    428,049.03

    018070 0556 LAKE MASON MANAGEMENT DISTRICT

    396335566678

    02320338

    SCH D OF WESTFIELDSCH D OF WISCONSIN DELLS

    1,179.00 508,173.82

    0102201022

    00040013

    MADISON AREA TECHNICAL COLLEGE MADNMID-STATE TECHNICAL COLLEGE WRAP

    54,893.76 162.89

    COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4

    * G-1 Col 4 must agree with line 5 in part IITotal collections on hand December 31 (Real and Personal)Less: Collections of special chargesLess: Collections of special assessmentsLess: Collections of special taxesLess: Collections of general property taxes (Line 1 minus Lines 2, 3, 4)Percentage (Line 5 divided by Line 6)Total general property taxes (Line G-1 from Part I)Total January payment to county (A.1 + B.4 + D.3 + D.5)

    (1)(2)(3)(4)(5)*

    (6) = (7)

    SEND A COPY OF THIS FORM TO THE COUNTY TREASURER

    PART II

    LGSAPP302WI 06-13 IPAS

    0.00

  • Instructions - January SettlementMust be Completed by January 15

    1. Complete column 2, Taxes Levied, of Part I using your current Statement of taxes as a guide.

    2. Calculate the percentage of general property taxes collected in Part II. If you segregate tax collections on a tax 'blotter' or post them to the paper copy of the tax roll, use that information to calculate the percentage. Otherwise, follow the steps below.

    a. Enter the total collections on hand as of December 31 for all purposes on line 1. Do not include omitted property or s.70.43 corrections in this total.

    b. Enter the collections of special charges (include delinquent utility charges) on line 2.

    c. Enter the collections of special assessments on line 3.

    d. Enter the collections of special taxes (PFC, MFL, and occupational taxes) on line 4.

    e. Subtract lines 2, 3, and 4 from line 1. Enter the result on line 5.

    f. Enter the amount of Total General Property Taxes from line G-1. Column 2 of Part 1 above on line 6.

    g. Divide line 5 by line 6. Enter the result on line 7. (This is your percentage of collections.) Carry out to at least 7 places to right of decimal point.

    3. Calculate the proportionate share of general property taxes for each of your taxing jurisdictions. To do this, simply:

    a. Enter your percentage in Column 3 of Part I.

    b. Multiply the amounts in Column 2 by your percentage in Column 3. Enter your results in Column 4. Each amount is the proportionate share of general property taxes for the taxing jurisdiction.

    Pay this amount to taxing jurisdictions by January 15.

    4. Distribute the collections of special assessments, special charges and drainage taxes under Chapter 88, if they are collected for a taxing jurisdiction other than your tax district (town, village, city).

    5. You must pay a proportionate share of the 'other state special charges' and 'county special charges' shown in Section D of your Statement of Taxes to the County. These amounts are paid from your tax district's proportionate share of general property taxes (see NOTE).

    NOTE FOR STATE AND COUNTY SPECIAL CHARGES:

    If you have 'Other State Special Charges,' (Line D.4) and/or 'County Special Charges' (Line D.5), you must pay the proportionate share of these amounts to the county in addition to the proportionate share of the state and county tax levy. Therefore, your payment to the county will be the amount you calculate for state taxes on line A.1, column 4 plus the proportionate share of 'Other State Special Charges' on line D.4, column 5 plus County taxes line B.4, column 4 plus the proportionate share of 'County Special Charges' on line D.5, column 4 plus County Environmental Tax Increment on line D.3, column 4.

    If you need assistance completing this form or have questions about the January Settlement, contact the Department of Revenue, Bureau of Local Government Services at [email protected].

    KEEP THIS FORM FOR YOUR RECORDS AND SEND A COPY TO THE COUNTY TREASURER.

    LGSAPP302WI 06-13 IPAS

    KENNETH CROTHERSTOWN OF NEW HAVEN3890 COUNTY ROAD G WISCONSIN DELLS WI 53965-8621

  • JANUARY SETTLEMENT 2019 TAX ROLLGENERAL PROPERTY TAXES ONLY (REAL AND PERSONAL)

    TAX DISTRICT: T. PRESTON COUNTY: ADAMS COMUN CODE: 01024 ACCT NO: 0012PART IA.

    1. PORTION OF STATE SPECIAL CHARGES UPON COUNTY1. STATE TAXES

    B.2. PORTION OF COUNTY TAX LEVIED OVER ENTIRE TAX DISTRICT3. SPECIAL PURPOSE - HANDICAPPED SCHOOLS4. TOTAL COUNTY TAXES / Sum of B1 - B3)

    1.C. SPECIAL DISTRICT CODES & NAMES

    2.3.4.5.6.7.8.9.

    10.11.

    1. OTHER SPECIAL PURPOSE DISTRICT TAXESD.2. TOTAL TAX INCREMENT (except county environmental remediation tax increment)3. COUNTY ENVIRONMENTAL TAX INCREMENT4. OTHER STATE SPECIAL CHARGES5. COUNTY SPECIAL CHARGES6. ALL OTHER TOWN, VILLAGE, OR CITY TAXES7. SURPLUS FUNDS APPLIED TO TAX ROLLG.6. OVERRUN - UNDERRUN

    8. TOTAL TAX DISTRICT TAXES (Sum of D1-D7)

    1.E. SCHOOL DISTRICT CODES & NAMES

    2. 3.4.5.6. 7.8. 9.

    10.

    1.F. TECHNICAL COLLEGE DISTRICT CODES & NAMES

    2.3.

    G. 1. TOTAL GENERAL PROPERTY TAXES (Real and Personal)

    TAXES LEVIED PERCENT PROP. SHARE

    0.00 3.13

    1,099,510.36 0.00

    1,099,513.49

    018050018060

    00040005

    BIG ROCHE-A-CRI LAKE DISTRICTFRIENDSHIP LAKE DISTRICT

    010014 0017 SCH D OF ADAMS FRIENDSHIP AREA 1,200,682.32

    01024 0013 MID-STATE TECHNICAL COLLEGE WRAP 149,990.76

    COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4

    * G-1 Col 4 must agree with line 5 in part IITotal collections on hand December 31 (Real and Personal)Less: Collections of special chargesLess: Collections of special assessmentsLess: Collections of special taxesLess: Collections of general property taxes (Line 1 minus Lines 2, 3, 4)Percentage (Line 5 divided by Line 6)Total general property taxes (Line G-1 from Part I)Total January payment to county (A.1 + B.4 + D.3 + D.5)

    (1)(2)(3)(4)(5)*

    (6) = (7)

    SEND A COPY OF THIS FORM TO THE COUNTY TREASURER

    PART II

    LGSAPP302WI 06-13 IPAS

    0.00 0.00

  • Instructions - January SettlementMust be Completed by January 15

    1. Complete column 2, Taxes Levied, of Part I using your current Statement of taxes as a guide.

    2. Calculate the percentage of general property taxes collected in Part II. If you segregate tax collections on a tax 'blotter' or post them to the paper copy of the tax roll, use that information to calculate the percentage. Otherwise, follow the steps below.

    a. Enter the total collections on hand as of December 31 for all purposes on line 1. Do not include omitted property or s.70.43 corrections in this total.

    b. Enter the collections of special charges (include delinquent utility charges) on line 2.

    c. Enter the collections of special assessments on line 3.

    d. Enter the collections of special taxes (PFC, MFL, and occupational taxes) on line 4.

    e. Subtract lines 2, 3, and 4 from line 1. Enter the result on line 5.

    f. Enter the amount of Total General Property Taxes from line G-1. Column 2 of Part 1 above on line 6.

    g. Divide line 5 by line 6. Enter the result on line 7. (This is your percentage of collections.) Carry out to at least 7 places to right of decimal point.

    3. Calculate the proportionate share of general property taxes for each of your taxing jurisdictions. To do this, simply:

    a. Enter your percentage in Column 3 of Part I.

    b. Multiply the amounts in Column 2 by your percentage in Column 3. Enter your results in Column 4. Each amount is the proportionate share of general property taxes for the taxing jurisdiction.

    Pay this amount to taxing jurisdictions by January 15.

    4. Distribute the collections of special assessments, special charges and drainage taxes under Chapter 88, if they are collected for a taxing jurisdiction other than your tax district (town, village, city).

    5. You must pay a proportionate share of the 'other state special charges' and 'county special charges' shown in Section D of your Statement of Taxes to the County. These amounts are paid from your tax district's proportionate share of general property taxes (see NOTE).

    NOTE FOR STATE AND COUNTY SPECIAL CHARGES:

    If you have 'Other State Special Charges,' (Line D.4) and/or 'County Special Charges' (Line D.5), you must pay the proportionate share of these amounts to the county in addition to the proportionate share of the state and county tax levy. Therefore, your payment to the county will be the amount you calculate for state taxes on line A.1, column 4 plus the proportionate share of 'Other State Special Charges' on line D.4, column 5 plus County taxes line B.4, column 4 plus the proportionate share of 'County Special Charges' on line D.5, column 4 plus County Environmental Tax Increment on line D.3, column 4.

    If you need assistance completing this form or have questions about the January Settlement, contact the Department of Revenue, Bureau of Local Government Services at [email protected].

    KEEP THIS FORM FOR YOUR RECORDS AND SEND A COPY TO THE COUNTY TREASURER.

    LGSAPP302WI 06-13 IPAS

    SCOTT SORENSENTOWN OF PRESTON1739 11TH AVE FRIENDSHIP WI 53934

  • JANUARY SETTLEMENT 2019 TAX ROLLGENERAL PROPERTY TAXES ONLY (REAL AND PERSONAL)

    TAX DISTRICT: T. QUINCY COUNTY: ADAMS COMUN CODE: 01026 ACCT NO: 0013PART IA.

    1. PORTION OF STATE SPECIAL CHARGES UPON COUNTY1. STATE TAXES

    B.2. PORTION OF COUNTY TAX LEVIED OVER ENTIRE TAX DISTRICT3. SPECIAL PURPOSE - HANDICAPPED SCHOOLS4. TOTAL COUNTY TAXES / Sum of B1 - B3)

    1.C. SPECIAL DISTRICT CODES & NAMES

    2.3.4.5.6.7.8.9.

    10.11.

    1. OTHER SPECIAL PURPOSE DISTRICT TAXESD.2. TOTAL TAX INCREMENT (except county environmental remediation tax increment)3. COUNTY ENVIRONMENTAL TAX INCREMENT4. OTHER STATE SPECIAL CHARGES5. COUNTY SPECIAL CHARGES6. ALL OTHER TOWN, VILLAGE, OR CITY TAXES7. SURPLUS FUNDS APPLIED TO TAX ROLLG.6. OVERRUN - UNDERRUN

    8. TOTAL TAX DISTRICT TAXES (Sum of D1-D7)

    1.E. SCHOOL DISTRICT CODES & NAMES

    2. 3.4.5.6. 7.8. 9.

    10.

    1.F. TECHNICAL COLLEGE DISTRICT CODES & NAMES

    2.3.

    G. 1. TOTAL GENERAL PROPERTY TAXES (Real and Personal)

    TAXES LEVIED PERCENT PROP. SHARE

    0.00 3.96

    1,391,914.52 0.00

    1,391,918.48

    010014 0017 SCH D OF ADAMS FRIENDSHIP AREA 1,519,992.18

    01026 0013 MID-STATE TECHNICAL COLLEGE WRAP 189,879.35

    COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4

    * G-1 Col 4 must agree with line 5 in part IITotal collections on hand December 31 (Real and Personal)Less: Collections of special chargesLess: Collections of special assessmentsLess: Collections of special taxesLess: Collections of general property taxes (Line 1 minus Lines 2, 3, 4)Percentage (Line 5 divided by Line 6)Total general property taxes (Line G-1 from Part I)Total January payment to county (A.1 + B.4 + D.3 + D.5)

    (1)(2)(3)(4)(5)*

    (6) = (7)

    SEND A COPY OF THIS FORM TO THE COUNTY TREASURER

    PART II

    LGSAPP302WI 06-13 IPAS

  • Instructions - January SettlementMust be Completed by January 15

    1. Complete column 2, Taxes Levied, of Part I using your current Statement of taxes as a guide.

    2. Calculate the percentage of general property taxes collected in Part II. If you segregate tax collections on a tax 'blotter' or post them to the paper copy of the tax roll, use that information to calculate the percentage. Otherwise, follow the steps below.

    a. Enter the total collections on hand as of December 31 for all purposes on line 1. Do not include omitted property or s.70.43 corrections in this total.

    b. Enter the collections of special charges (include delinquent utility charges) on line 2.

    c. Enter the collections of special assessments on line 3.

    d. Enter the collections of special taxes (PFC, MFL, and occupational taxes) on line 4.

    e. Subtract lines 2, 3, and 4 from line 1. Enter the result on line 5.

    f. Enter the amount of Total General Property Taxes from line G-1. Column 2 of Part 1 above on line 6.

    g. Divide line 5 by line 6. Enter the result on line 7. (This is your percentage of collections.) Carry out to at least 7 places to right of decimal point.

    3. Calculate the proportionate share of general property taxes for each of your taxing jurisdictions. To do this, simply:

    a. Enter your percentage in Column 3 of Part I.

    b. Multiply the amounts in Column 2 by your percentage in Column 3. Enter your results in Column 4. Each amount is the proportionate share of general property taxes for the taxing jurisdiction.

    Pay this amount to taxing jurisdictions by January 15.

    4. Distribute the collections of special assessments, special charges and drainage taxes under Chapter 88, if they are collected for a taxing jurisdiction other than your tax district (town, village, city).

    5. You must pay a proportionate share of the 'other state special charges' and 'county special charges' shown in Section D of your Statement of Taxes to the County. These amounts are paid from your tax district's proportionate share of general property taxes (see NOTE).

    NOTE FOR STATE AND COUNTY SPECIAL CHARGES:

    If you have 'Other State Special Charges,' (Line D.4) and/or 'County Special Charges' (Line D.5), you must pay the proportionate share of these amounts to the county in addition to the proportionate share of the state and county tax levy. Therefore, your payment to the county will be the amount you calculate for state taxes on line A.1, column 4 plus the proportionate share of 'Other State Special Charges' on line D.4, column 5 plus County taxes line B.4, column 4 plus the proportionate share of 'County Special Charges' on line D.5, column 4 plus County Environmental Tax Increment on line D.3, column 4.

    If you need assistance completing this form or have questions about the January Settlement, contact the Department of Revenue, Bureau of Local Government Services at [email protected].

    KEEP THIS FORM FOR YOUR RECORDS AND SEND A COPY TO THE COUNTY TREASURER.

    LGSAPP302WI 06-13 IPAS

    KATHY K BORKTOWN OF QUINCY2599 COUNTY RD Z FRIENDSHIP WI 53934-9617

  • JANUARY SETTLEMENT 2019 TAX ROLLGENERAL PROPERTY TAXES ONLY (REAL AND PERSONAL)

    TAX DISTRICT: T. RICHFIELD COUNTY: ADAMS COMUN CODE: 01028 ACCT NO: 0014PART IA.

    1. PORTION OF STATE SPECIAL CHARGES UPON COUNTY1. STATE TAXES

    B.2. PORTION OF COUNTY TAX LEVIED OVER ENTIRE TAX DISTRICT3. SPECIAL PURPOSE - HANDICAPPED SCHOOLS4. TOTAL COUNTY TAXES / Sum of B1 - B3)

    1.C. SPECIAL DISTRICT CODES & NAMES

    2.3.4.5.6.7.8.9.

    10.11.

    1. OTHER SPECIAL PURPOSE DISTRICT TAXESD.2. TOTAL TAX INCREMENT (except county environmental remediation tax increment)3. COUNTY ENVIRONMENTAL TAX INCREMENT4. OTHER STATE SPECIAL CHARGES5. COUNTY SPECIAL CHARGES6. ALL OTHER TOWN, VILLAGE, OR CITY TAXES7. SURPLUS FUNDS APPLIED TO TAX ROLLG.6. OVERRUN - UNDERRUN

    8. TOTAL TAX DISTRICT TAXES (Sum of D1-D7)

    1.E. SCHOOL DISTRICT CODES & NAMES

    2. 3.4.5.6. 7.8. 9.

    10.

    1.F. TECHNICAL COLLEGE DISTRICT CODES & NAMES

    2.3.

    G. 1. TOTAL GENERAL PROPERTY TAXES (Real and Personal)

    TAXES LEVIED PERCENT PROP. SHARE

    0.00 0.67

    237,176.19 0.00

    237,176.86

    010014396335

    00170232

    SCH D OF ADAMS FRIENDSHIP AREASCH D OF WESTFIELD

    228,766.78 27,334.00

    01028 0013 MID-STATE TECHNICAL COLLEGE WRAP 32,354.62

    COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4

    * G-1 Col 4 must agree with line 5 in part IITotal collections on hand December 31 (Real and Personal)Less: Collections of special chargesLess: Collections of special assessmentsLess: Collections of special taxesLess: Collections of general property taxes (Line 1 minus Lines 2, 3, 4)Percentage (Line 5 divided by Line 6)Total general property taxes (Line G-1 from Part I)Total January payment to county (A.1 + B.4 + D.3 + D.5)

    (1)(2)(3)(4)(5)*

    (6) = (7)

    SEND A COPY OF THIS FORM TO THE COUNTY TREASURER

    PART II

    LGSAPP302WI 06-13 IPAS

  • Instructions - January SettlementMust be Completed by January 15

    1. Complete column 2, Taxes Levied, of Part I using your current Statement of taxes as a guide.

    2. Calculate the percentage of general property taxes collected in Part II. If you segregate tax collections on a tax 'blotter' or post them to the paper copy of the tax roll, use that information to calculate the percentage. Otherwise, follow the steps below.

    a. Enter the total collections on hand as of December 31 for all purposes on line 1. Do not include omitted property or s.70.43 corrections in this total.

    b. Enter the collections of special charges (include delinquent utility charges) on line 2.

    c. Enter the collections of special assessments on line 3.

    d. Enter the collections of special taxes (PFC, MFL, and occupational taxes) on line 4.

    e. Subtract lines 2, 3, and 4 from line 1. Enter the result on line 5.

    f. Enter the amount of Total General Property Taxes from line G-1. Column 2 of Part 1 above on line 6.

    g. Divide line 5 by line 6. Enter the result on line 7. (This is your percentage of collections.) Carry out to at least 7 places to right of decimal point.

    3. Calculate the proportionate share of general property taxes for each of your taxing jurisdictions. To do this, simply:

    a. Enter your percentage in Column 3 of Part I.

    b. Multiply the amounts in Column 2 by your percentage in Column 3. Enter your results in Column 4. Each amount is the proportionate share of general property taxes for the taxing jurisdiction.

    Pay this amount to taxing jurisdictions by January 15.

    4. Distribute the collections of special assessments, special charges and drainage taxes under Chapter 88, if they are collected for a taxing jurisdiction other than your tax district (town, village, city).

    5. You must pay a proportionate share of the 'other state special charges' and 'county special charges' shown in Section D of your Statement of Taxes to the County. These amounts are paid from your tax district's proportionate share of general property taxes (see NOTE).

    NOTE FOR STATE AND COUNTY SPECIAL CHARGES:

    If you have 'Other State Special Charges,' (Line D.4) and/or 'County Special Charges' (Line D.5), you must pay the proportionate share of these amounts to the county in addition to the proportionate share of the state and county tax levy. Therefore, your payment to the county will be the amount you calculate for state taxes on line A.1, column 4 plus the proportionate share of 'Other State Special Charges' on line D.4, column 5 plus County taxes line B.4, column 4 plus the proportionate share of 'County Special Charges' on line D.5, column 4 plus County Environmental Tax Increment on line D.3, column 4.

    If you need assistance completing this form or have questions about the January Settlement, contact the Department of Revenue, Bureau of Local Government Services at [email protected].

    KEEP THIS FORM FOR YOUR RECORDS AND SEND A COPY TO THE COUNTY TREASURER.

    LGSAPP302WI 06-13 IPAS

    TANYA BURROWSTOWN OF RICHFIELD153 CUMBERLAND AVE COLOMA WI 54930-9457

  • JANUARY SETTLEMENT 2019 TAX ROLLGENERAL PROPERTY TAXES ONLY (REAL AND PERSONAL)

    TAX DISTRICT: T. ROME COUNTY: ADAMS COMUN CODE: 01030 ACCT NO: 0015PART IA.

    1. PORTION OF STATE SPECIAL CHARGES UPON COUNTY1. STATE TAXES

    B.2. PORTION OF COUNTY TAX LEVIED OVER ENTIRE TAX DISTRICT3. SPECIAL PURPOSE - HANDICAPPED SCHOOLS4. TOTAL COUNTY TAXES / Sum of B1 - B3)

    1.C. SPECIAL DISTRICT CODES & NAMES

    2.3.4.5.6.7.8.9.

    10.11.

    1. OTHER SPECIAL PURPOSE DISTRICT TAXESD.2. TOTAL TAX INCREMENT (except county environmental remediation tax increment)3. COUNTY ENVIRONMENTAL TAX INCREMENT4. OTHER STATE SPECIAL CHARGES5. COUNTY SPECIAL CHARGES6. ALL OTHER TOWN, VILLAGE, OR CITY TAXES7. SURPLUS FUNDS APPLIED TO TAX ROLLG.6. OVERRUN - UNDERRUN

    8. TOTAL TAX DISTRICT TAXES (Sum of D1-D7)

    1.E. SCHOOL DISTRICT CODES & NAMES

    2. 3.4.5.6. 7.8. 9.

    10.

    1.F. TECHNICAL COLLEGE DISTRICT CODES & NAMES

    2.3.

    G. 1. TOTAL GENERAL PROPERTY TAXES (Real and Personal)

    TAXES LEVIED PERCENT PROP. SHARE

    0.00 13.51

    4,587,807.92 0.00

    4,587,821.43

    018040 0003 TRI-LAKES MANAGEMENT DISTRICT

    694375713906

    04290439

    SCH D OF TRI-COUNTY AREA (PLAINFIELD)SCH D OF NEKOOSA

    2,099.73 6,996,010.90

    01030 0013 MID-STATE TECHNICAL COLLEGE WRAP 647,556.22

    COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4

    * G-1 Col 4 must agree with line 5 in part IITotal collections on hand December 31 (Real and Personal)Less: Collections of special chargesLess: Collections of special assessmentsLess: Collections of special taxesLess: Collections of general property taxes (Line 1 minus Lines 2, 3, 4)Percentage (Line 5 divided by Line 6)Total general property taxes (Line G-1 from Part I)Total January payment to county (A.1 + B.4 + D.3 + D.5)

    (1)(2)(3)(4)(5)*

    (6) = (7)

    SEND A COPY OF THIS FORM TO THE COUNTY TREASURER

    PART II

    LGSAPP302WI 06-13 IPAS

    89,050.00

  • Instructions - January SettlementMust be Completed by January 15

    1. Complete column 2, Taxes Levied, of Part I using your current Statement of taxes as a guide.

    2. Calculate the percentage of general property taxes collected in Part II. If you segregate tax collections on a tax 'blotter' or post them to the paper copy of the tax roll, use that information to calculate the percentage. Otherwise, follow the steps below.

    a. Enter the total collections on hand as of December 31 for all purposes on line 1. Do not include omitted property or s.70.43 corrections in this total.

    b. Enter the collections of special charges (include delinquent utility charges) on line 2.

    c. Enter the collections of special assessments on line 3.

    d. Enter the collections of special taxes (PFC, MFL, and occupational taxes) on line 4.

    e. Subtract lines 2, 3, and 4 from line 1. Enter the result on line 5.

    f. Enter the amount of Total General Property Taxes from line G-1. Column 2 of Part 1 above on line 6.

    g. Divide line 5 by line 6. Enter the result on line 7. (This is your percentage of collections.) Carry out to at least 7 places to right of decimal point.

    3. Calculate the proportionate share of general property taxes for each of your taxing jurisdictions. To do this, simply:

    a. Enter your percentage in Column 3 of Part I.

    b. Multiply the amounts in Column 2 by your percentage in Column 3. Enter your results in Column 4. Each amount is the proportionate share of general property taxes for the taxing jurisdiction.

    Pay this amount to taxing jurisdictions by January 15.

    4. Distribute the collections of special assessments, special charges and drainage taxes under Chapter 88, if they are collected for a taxing jurisdiction other than your tax district (town, village, city).

    5. You must pay a proportionate share of the 'other state special charges' and 'county special charges' shown in Section D of your Statement of Taxes to the County. These amounts are paid from your tax district's proportionate share of general property taxes (see NOTE).

    NOTE FOR STATE AND COUNTY SPECIAL CHARGES:

    If you have 'Other State Special Charges,' (Line D.4) and/or 'County Special Charges' (Line D.5), you must pay the proportionate share of these amounts to the county in addition to the proportionate share of the state and county tax levy. Therefore, your payment to the county will be the amount you calculate for state taxes on line A.1, column 4 plus the proportionate share of 'Other State Special Charges' on line D.4, column 5 plus County taxes line B.4, column 4 plus the proportionate share of 'County Special Charges' on line D.5, column 4 plus County Environmental Tax Increment on line D.3, column 4.

    If you need assistance completing this form or have questions about the January Settlement, contact the Department of Revenue, Bureau of Local Government Services at [email protected].

    KEEP THIS FORM FOR YOUR RECORDS AND SEND A COPY TO THE COUNTY TREASURER.

    LGSAPP302WI 06-13 IPAS

    AMY REUTEMANTOWN OF ROME1156 ALPINE DR NEKOOSA WI 54457-8616

  • JANUARY SETTLEMENT 2019 TAX ROLLGENERAL PROPERTY TAXES ONLY (REAL AND PERSONAL)

    TAX DISTRICT: T. SPRINGVILLE COUNTY: ADAMS COMUN CODE: 01032 ACCT NO: 0016PART IA.

    1. PORTION OF STATE SPECIAL CHARGES UPON COUNTY1. STATE TAXES

    B.2. PORTION OF COUNTY TAX LEVIED OVER ENTIRE TAX DISTRICT3. SPECIAL PURPOSE - HANDICAPPED SCHOOLS4. TOTAL COUNTY TAXES / Sum of B1 - B3)

    1.C. SPECIAL DISTRICT CODES & NAMES

    2.3.4.5.6.7.8.9.

    10.11.

    1. OTHER SPECIAL PURPOSE DISTRICT TAXESD.2. TOTAL TAX INCREMENT (except county environmental remediation tax increment)3. COUNTY ENVIRONMENTAL TAX INCREMENT4. OTHER STATE SPECIAL CHARGES5. COUNTY SPECIAL CHARGES6. ALL OTHER TOWN, VILLAGE, OR CITY TAXES7. SURPLUS FUNDS APPLIED TO TAX ROLLG.6. OVERRUN - UNDERRUN

    8. TOTAL TAX DISTRICT TAXES (Sum of D1-D7)

    1.E. SCHOOL DISTRICT CODES & NAMES

    2. 3.4.5.6. 7.8. 9.

    10.

    1.F. TECHNICAL COLLEGE DISTRICT CODES & NAMES

    2.3.

    G. 1. TOTAL GENERAL PROPERTY TAXES (Real and Personal)

    TAXES LEVIED PERCENT PROP. SHARE

    0.00 2.70

    949,894.36 0.00

    949,897.06

    010014566678

    00170338

    SCH D OF ADAMS FRIENDSHIP AREASCH D OF WISCONSIN DELLS

    613,611.66 461,902.37

    0103201032

    00040013

    MADISON AREA TECHNICAL COLLEGE MADNMID-STATE TECHNICAL COLLEGE WRAP

    49,895.44 76,653.15

    COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4

    * G-1 Col 4 must agree with line 5 in part IITotal collections on hand December 31 (Real and Personal)Less: Collections of special chargesLess: Collections of special assessmentsLess: Collections of special taxesLess: Collections of general property taxes (Line 1 minus Lines 2, 3, 4)Percentage (Line 5 divided by Line 6)Total general property taxes (Line G-1 from Part I)Total January payment to county (A.1 + B.4 + D.3 + D.5)

    (1)(2)(3)(4)(5)*

    (6) = (7)

    SEND A COPY OF THIS FORM TO THE COUNTY TREASURER

    PART II

    LGSAPP302WI 06-13 IPAS

  • Instructions - January SettlementMust be Completed by January 15

    1. Complete column 2, Taxes Levied, of Part I using your current Statement of taxes as a guide.

    2. Calculate the percentage of general property taxes collected in Part II. If you segregate tax collections on a tax 'blotter' or post them to the paper copy of the tax roll, use that information to calculate the percentage. Otherwise, follow the steps below.

    a. Enter the total collections on hand as of December 31 for all purposes on line 1. Do not include omitted property or s.70.43 corrections in this total.

    b. Enter the collections of special charges (include delinquent utility charges) on line 2.

    c. Enter the collections of special assessments on line 3.

    d. Enter the collections of special taxes (PFC, MFL, and occupational taxes) on line 4.

    e. Subtract lines 2, 3, and 4 from line 1. Enter the result on line 5.

    f. Enter the amount of Total General Property Taxes from line G-1. Column 2 of Part 1 above on line 6.

    g. Divide line 5 by line 6. Enter the result on line 7. (This is your percentage of collections.) Carry out to at least 7 places to right of decimal point.

    3. Calculate the proportionate share of general property taxes for each of your taxing jurisdictions. To do this, simply:

    a. Enter your percentage in Column 3 of Part I.

    b. Multiply the amounts in Column 2 by your percentage in Column 3. Enter your results in Column 4. Each amount is the proportionate share of general property taxes for the taxing jurisdiction.

    Pay this amount to taxing jurisdictions by January 15.

    4. Distribute the collections of special assessments, special charges and drainage taxes under Chapter 88, if they are collected for a taxing jurisdiction other than your tax district (town, village, city).

    5. You must pay a proportionate share of the 'other state special charges' and 'county special charges' shown in Section D of your Statement of Taxes to the County. These amounts are paid from your tax district's proportionate share of general property taxes (see NOTE).

    NOTE FOR STATE AND COUNTY SPECIAL CHARGES:

    If you have 'Other State Special Charges,' (Line D.4) and/or 'County Special Charges' (Line D.5), you must pay the proportionate share of these amounts to the county in addition to the proportionate share of the state and county tax levy. Therefore, your payment to the county will be the amount you calculate for state taxes on line A.1, column 4 plus the proportionate share of 'Other State Special Charges' on line D.4, column 5 plus County taxes line B.4, column 4 plus the proportionate share of 'County Special Charges' on line D.5, column 4 plus County Environmental Tax Increment on line D.3, column 4.

    If you need assistance completing this form or have questions about the January Settlement, contact the Department of Revenue, Bureau of Local Government Services at [email protected].

    KEEP THIS FORM FOR YOUR RECORDS AND SEND A COPY TO THE COUNTY TREASURER.

    LGSAPP302WI 06-13 IPAS

    FREDRIKA DETTLAFFTOWN OF SPRINGVILLE1003 FUR AVE WISCONSIN DELLS WI 53965-8959

  • JANUARY SETTLEMENT 2019 TAX ROLLGENERAL PROPERTY TAXES ONLY (REAL AND PERSONAL)

    TAX DISTRICT: T. STRONGS PRAIRIE COUNTY: ADAMS COMUN CODE: 01034 ACCT NO: 0017PART IA.

    1. PORTION OF STATE SPECIAL CHARGES UPON COUNTY1. STATE TAXES

    B.2. PORTION OF COUNTY TAX LEVIED OVER ENTIRE TAX DISTRICT3. SPECIAL PURPOSE - HANDICAPPED SCHOOLS4. TOTAL COUNTY TAXES / Sum of B1 - B3)

    1.C. SPECIAL DISTRICT CODES & NAMES

    2.3.4.5.6.7.8.9.

    10.11.

    1. OTHER SPECIAL PURPOSE DISTRICT TAXESD.2. TOTAL TAX INCREMENT (except county environmental remediation tax increment)3. COUNTY ENVIRONMENTAL TAX INCREMENT4. OTHER STATE SPECIAL CHARGES5. COUNTY SPECIAL CHARGES6. ALL OTHER TOWN, VILLAGE, OR CITY TAXES7. SURPLUS FUNDS APPLIED TO TAX ROLLG.6. OVERRUN - UNDERRUN

    8. TOTAL TAX DISTRICT TAXES (Sum of D1-D7)

    1.E. SCHOOL DISTRICT CODES & NAMES

    2. 3.4.5.6. 7.8. 9.

    10.

    1.F. TECHNICAL COLLEGE DISTRICT CODES & NAMES

    2.3.

    G. 1. TOTAL GENERAL PROPERTY TAXES (Real and Personal)

    TAXES LEVIED PERCENT PROP. SHARE

    0.00 4.42

    1,552,598.23 0.00

    1,552,602.65

    018130 0614 ARKDALE LAKE DISTRICT

    010014 0017 SCH D OF ADAMS FRIENDSHIP AREA 1,695,461.29

    01034 0013 MID-STATE TECHNICAL COLLEGE WRAP 211,799.17

    COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4

    * G-1 Col 4 must agree with line 5 in part IITotal collections on hand December 31 (Real and Personal)Less: Collections of special chargesLess: Collections of special assessmentsLess: Collections of special taxesLess: Collections of general property taxes (Line 1 minus Lines 2, 3, 4)Percentage (Line 5 divided by Line 6)Total general property taxes (Line G-1 from Part I)Total January payment to county (A.1 + B.4 + D.3 + D.5)

    (1)(2)(3)(4)(5)*

    (6) = (7)

    SEND A COPY OF THIS FORM TO THE COUNTY TREASURER

    PART II

    LGSAPP302WI 06-13 IPAS

    0.00

  • Instructions - January SettlementMust be Completed by January 15

    1. Complete column 2, Taxes Levied, of Part I using your current Statement of taxes as a guide.

    2. Calculate the percentage of general property taxes collected in Part II. If you segregate tax collections on a tax 'blotter' or post them to the paper copy of the tax roll, use that information to calculate the percentage. Otherwise, follow the steps below.

    a. Enter the total collections on hand as of December 31 for all purposes on line 1. Do not include omitted property or s.70.43 corrections in this total.

    b. Enter the collections of special charges (include delinquent utility charges) on line 2.

    c. Enter the collections of special assessments on line 3.

    d. Enter the collections of special taxes (PFC, MFL, and