FACT FINDING REPORT IN RE: OFFICE OF ANSONIA TAX COLLECTOR HANDLING OF MOTOR VEmCLE TAX DELINQUENCIES AND DEPARTMENT

OF MOTOR VEmCLES NOTIFICATIONS AUGUST 8,2012 FACTUAL BACKGROUND:

**

On Juiy 18.2012, there appeared in the Valley Independent Sentinel ("VIS"), a local online news service, an article which reported questionable activities occurring in the Office of the Ansonia Tax Collector. The articie noted that there were a number of City of Ansonia employees who owed taxes to the City; that the Office of the Tax Collector had issued official paperwork evidencing taxes paid for certain individuals who had not paid their taxes; and that the Office of the Tax Collector had not utilized its paid online resources to provide motor vehicle tax delinquencies to the State of Connecticut Department of Motor Vehicles. DIRECTIVE OF MAYOR:

In response to the VIS article. Mayor James DeIlaVolpe appointed an ad hoc committee to conduct an official fact finding investigation regarding Issues raised by the article. The committee was composed of Attorney Kevin M. Blake; Mr. Robert Jaskilka, City Auditor; and the undersigned, Attorney Francis A. Teodosio. COMMITTEE ACTION - FOUR ISSUES:

It was the opinion of the Committee that the article raised four separate issues and that Committee investigation of these issues would accomplish the directive of the Mayor. The Committee formulated these issues as follows: (1) Is there a list of individuals employed by the City of Ansonia who are delinquent in payment of their city taxes? Did someone in the Office of the Ansonia Tax Collector issue official paperwork for the State of Connecticut Department of Motor Vehicles stating that a taxpayer with the last name "Bostic" had paid his or her taxes even though that person had not paid his or her taxes? Did someone in the Office of the Ansonia Tax Collector issue official paperwork for the State of Connecticut Department of Motor Vehicles stating that certain Ansonia City employees had paid their taxes even though those employees had not paid their taxes? Did the Office of the Ansonia Tax Collector effectiveiy use its paid service with the State of Connecticut Department of Motor Vehicles to block Ansonia tax delinquents from registering their motor vehicles? Corrected as to Schedule A and Schedule E

(2)

(3)

(4)

**

Fact Finding Report In Re: Office of Ansonia Tax Collector Handling of Motor Vehicle Tax Delinquencies and Department of Motor Vehicles Notifications August 8, 2012 Page 2 As to each of the above issues. the Committee reviewed and/or obtained computer records from Ansonia City Hall, interviewed the Ansonia Tax Collector and Assistant Tax Collector and spoke with employees of other Tax Collector offices. ISSUE I: IS THERE A LIST OF EMPLOYEES OF THE CITY OF ANSONIA WHO ARE DELINQUENT IN PAYMENT OF THEIR CITY TAXES? Based on sworn statements of both Ansonia Tax Collector, Ms. Bridget Bostic ("ATCBBOSTIC') and Assistant Tax Collector, Ms. Tammy Blackwell ("ATCBBLACKWELL"), there is a list of such employees or the capability to assemble such a list. A list of such employees should be prepared, but a citywide list of delinquent taxpayers also prepared. Both should be generated by the Tax Office and left in a location easily accessible by the public for general review. The Office of the Tax Collector should be directed to compare both lists with DMV records of motor vehicies registered in the State of Connecticut and owned by Ansonia residents. This process could potentially generate a list of delinquent taxpayers who have somehow succeeded registering their motor vehicles. From such list, the City of Ansonia could determine further action". DID SOMEONE IN .THE OFFICE OF THE ANSONIA TAX COLLECTOR ISSUE OFFICIAL PAPERWORK FOR THE STATE OF CONNECTICUT DEPARTMENT OF MOTOR VEHICLES STATING THAT A TAXPAYER WITH THE LAST NAME "BOSTIC" HAD PAID IDS OR HER TAXES EVEN THOUGH THAT PERSON HAD NOT PAID HIS OR HER TAXES? Based on the sworn statement of ATCBBOSTIC, the answer to the above is yes. While under oath, ATCBBOSTIC stated that it was she who issued official documentation from her office, that of the Ansonia Tax Collector, to one Marion Bostic which documentation effectively allowed Marion Bostic to register her motor vehicle with the Department of Motor Vehicles. ATCBBOSTIC also stated that Marion Bostic was her mother.

Findings:

Recommendation:

ISSUE II:

Findings:

i.

It IS suggested that the same action be taken by the Ansonia Water Pollution Control Office which collects sewer use and sewer project fees.

--------.~---------------------------------------------------------

Fact Finding Report In Re: Office of Ansonia Tax Collector Handling of Motor Vehicle Tax Delinquencies and Department of Motor Vehicles Notifications August 8, 2012 Page 3 ATCBBOSTIC gave extensive explanation about the difference between a "Waiver" and "Release' of taxes. It seeming to be her intention to differentiate the two terms and noting that one Just allows the recipient to register the motor vehicle and the other actually forgives the payment of taxes. However, for purposes of this inquiry, the distinction seems of no importance, since the document Issued by ATCBBOSTIC to her mother states under official Ansonia Seal that the name of the delinquent " ... HAS PAID THEIR MOTOR VEHICLE PROPERTY TAX FOR THE YEAR ," The document has a signature line for the Tax Collector and provides direction on the reverse side to the delinquent taxpayer as to how to register his or her vehicle after payment of taxes. (A copy of the form used by the Tax Collector is hereto attached as Schedule A.) ATCBBOSTIC admitted that when she issued and signed this document the taxes had not been paid and that she knew the effect of her having issued the document would be to allow her mother to register the vehicle. During the questioning, ATCBBOSTIC further admitted, when asked, that she had done this twice before for her mother: once during tax year 2005-2006 and also during the tax year 2001-2002. ATCBBOSTIC stated that on August 2. 2012 she paid approximately $4.600;00 to the Office of the Ansonia Tax Collector to pay her mother's outstanding tax bills for the three grand lists in issue. ATCTBLACKWELL also stated that the payment had been made and that she herself had processed it. Both provided paperwork to evidence the transaction which appears attached hereto as Schedule B. Please note, even though both stated the transaction occurred on. August 2, 2012, some of the paperwork they presented as well as the City records indicate payments made on both July 30,2012 and August 2,2012. ATCBBOSTIC stated that she told the Mayor that on August 2, 2012 she had paid her mother's taxes. She stated she did not inform the Mayor of the additional two years of outstanding taxes and payments. Neither did ATCTBLACKWELL contact the Mayor about the two additional delinquent years, and then her processing of the tax payment for those years.

Fact Finding Report In Re: Office of Ansonia Tax Collector Handling of Motor Vehicle Tax Delinquencies and Department of Motor Vehicles Notifications August 8, 2012 Page 4 The Committee thought it prudent to review Ansonia Tax Office payments for 2012 for any other payments made III the name of either the Tax Collector or the Assistant Tax Collector. According to the online service available to review payment of Ansonia taxes, between February 24, 2012 and February 28, 2012, delinquent taxes were paid for a number of accounts in the name of "Blackwell" A listing of all those account is hereto attached as SCheduleC. However, for purposes of the Committee charge, only the following tax bills were reviewed. • • • • • 2010 Ford Edge, 2010-3-0051251 David and Tammy Blackwell 2010 Ford Edge, 2009-4-0080203 David and Tammy Blackwell 1999 Jeep Wrangler, 2010-3-0051256 David Blackwell 1999 Jeep Wrangler. 2009-3-0051229 David Blackwell 1999 Jeep Wrangler, 2008.,3-0051290 David Blackwell

As to the above, the 2010 Ford Edge was owned by both ATCTBLACKWELL and her husband; the 1999 Jeep Wrangler by her husband. The delinquent taxes for all of the above vehicles were paid and processed by ATCTBLACKWELL between February 24, 2012 and February 28,2012. ATCBBOSTIC did not know of nor participate in processing the payment. As to the 2010 Ford Edge, although the taxes were delinquent and had been so since February 1, 2011, no one in the tax office had issued a release document for the motor vehicle. There was no need to since the automobile had been purchased from a dealer which issued a registration not set to expire until September of 20l22.~ Recommendation: A policy should immediately go into effect to bar any employee of the Office of the Tax Collector who makes payment of his or her own taxes from processing the payment.
the Office of the Ansonia Tax Collector.

2.

As to the second vehicle, the Committee was unable to find any paperwork indicating that tax

releases had been issued by anyone

1D

Fact Finding Report In Re: Office of Ansonia Tax Collector Handling of Motor Vehicle Tax Delinquencies and Department of Motor Vehicles Notifications August 8, 2012 PageS As to a record of DMV tax releases issued after payment of taxes, both the Tax Collector and ASSIstantTax Collector stated they do not keep records of such. This protocol is consistent with the practice of at least two surrounding local tax offices. The rationale being that if the motor vehicle taxes have first been paid, then there is a detailed record of payment in the computer records of the tax office. However, despite this consensus and rationale, the Committee wanted to know if any such list of releases did or could be generated. Despite both ATCBBOSTIC and ATCTBLACKWELL responding no, the Committee did access what seemed to be such a list. (See Schedule D attached.) However, the Committee in its limited time cannot with certainty verify if such is list of all releases. This list should be further reviewed and analyzed. Recommendation: There should be an immediate halt to the issuance of DMV tax releases (the little blue square) until there is established a protocol for their Issuance and documentation as to their issuance. Although the tax office seems to be consistent with other tax offices in not having a record, the Committee disagrees with this practice. With the use of computer lists, photocopies and numbered releases, a protocol could be quickly put in place to monitor the use of such reieases. DID SOMEONE IN THE OFFICE OF THE ANSONIA TAX COLLECTOR ISSUE OFFICIAL PAPERWORK FOR THE STATE OF CONNECTICUT DEPARTMENT OF MOTOR VEIDCLES STATING THAT CERTAIN ANSONIA CITY EMPLOYEES HAD PAID THEIR TAXES EVEN THOUGH THOSE EMPLOYEES HAD NOT PAID THEIR TAXES? As with the actions she admitted to with her mother, ATCBBOSTIC also admitted that she had signed DMV releases without full tax payment for the following delinquent taxpayers: • • • •
J.

ISSUE III:

James Hooker Leslie Jamison Diane Stroman': John Tomassella

She is not an employee, but rather a member of the City board or commission.

Fact Finding Report In Re: Office of Ansonia Tax Collector Handling of Motor Vehicle Tax Delinquencies and Department of Motor Vehicles Notifications August 8, 2012 Page 6

She admitted that she knew that this action would allow the taxpayers to register their motor vehicles even though they had not paid their taxes. Of the above list, only Stroman has paid her taxes III full. This was done only after the Valley Independent Sentinel articles. ATCBBOSTIC indicated that Stroman and Jamison had agreed to be on payment plans. Based on this agreement, ATCBBOSTIC issued the DMV tax releases. There is no statutory basis for such discretion on the part of a tax collector. ATCBBOSTIC did state with regard to Tomassella that she thought he had filed bankruptcy. She,' however, had no documentation to evidence such filing. If filing had occurred, she would be authorized to issue the DMV tax.release. In addition to all of the above individuals, one Kevin Cegelka also received from the Office of the Ansonia Tax Collector DMV release documentation. This was so even though taxes on motor vehicles registered in his name also remain delinquent and unpaid. Asked whether she also signed the release documentation for Cegelka, ATCBBOSTIC could not recall clearly. She did not admit to signing but did not deny that she might have SIgned. ATCTBLACKWELL denied ever signing taxpayers who had not fully paid their taxes. any releases for

When asked if she had issued releases beforetax payment for any other taxpayers during her tenure as tax collector, ATCBBOSTIC stated that she had probably done it ten times since 2004. She recalled that each time it was in conjunction with a so-called payment plan. She had no specific recollection of who participated in these plans except for an individual with the last name of Spencer. According to her, Spencer and she agreed upon a payment plan III conjunction with discussions that the two had with Mayor James DellaVolpe. She stated that the Mayor was aware of the plan. She also stated that the Mayor was aware of her issuing a DMV release

Fact Finding Report In Re: Office of Ansonia Tax Collector Handling of Motor Vehicle Tax Delinquencies and Department of Motor Vehicles Notifications August 8, 2012 Page 7

prior to the plan. However, when asked specifically if she recalled explaining to the Mayor that she would issue the release; she was uncertain. Upon further questioning; she answered that she assumed the Mayor knew she would issue a release. ISSUE IV: DID THE OFFICE OF THE ANSONIA TAX COLLECTOR EFFECTIVELY USE ITS PAID SERVICE WITH THE STATE OF CONNECTICUT DEPARTMENT OF MOTOR VEHICLES TO BLOCK ANSONIA TAX DELINQUENTS FROM REGISTERING THEIR MOTOR VEHICLES? ATCBBOSTIC stated that she did regularly use online delinquency services to transfer information to State of Connecticut Department of Motor Vehicles. She stated that she had uploaded tax delinquency lists in June of 2011 and 2012. She did provide paperwork which seemed to confirm this (Schedule E). ATCTBLACKWELL denied ever using or knowing how to utilize the online tax service. As to the use by the Tax Collector; surrounding communities resort to the service with more regularity and closer to the completion of a six-month tax collection cycle. In doing so; the delinquency information is in the system more quickly to foster payment of delinquent taxes. Specific Recommendation:

A written protocol should be established in the office which requires use and written documentation of use of the tax service on a regular basis. EXPLANTION OF TAX COLLECTOR

At the conclusion of questioning, the Tax Collector stated that she had used "bad judgment"; she knows she is not supposed to do "payment plans"; and that she had done this as a "courtesy" to taxpayers and employees of the City of Ansonia. GENERAL RECOMMENDATION Although the actions of the Tax Collector seemed to have been well intentioned, there no basis in the law for her actions, and they may involve criminal actrvity, This report and further investigation should be turned over to the local police authorities.

is

Fact Finding Report In Re: Office of Ansonia Tax Collector Handling of Motor Vehicle Tax Delinquencies and Department of Motor Vehicles Notifications August 8, 2012 PageS

Although the actions of the Assistant Tax Collector in. paying her own delinquent taxes seem to be legal, the actions do raise issues of judgment and ethics and potential for abuse. A separate and extended inquiry should occur with a Committee composed of at least one municipal accountant with a charge to review the practice and put in place a protocol to forbid it. Further, the matter should be turned over to the Ansonia Board of Ethics for review. Finally, there may be a Violation Of existing personnel regulations. An inquiry should be conducted as to this issue. As to each recommendation for Ms. Blackwell above, the same is made for Ms. Bostic. However. if a criminal investigation ensues, the above will need to await its outcome.

FRANCIS A. TEQDOSIO, ESQ. KEVIN M. BLAKE, ESQ. ROBERT JASKILKA

SCHEDULE A
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Your name appears on a delin-' . t:·· _quent Tax. List at your local Motor
," '_.'_. c' , ....

Vehicle Branch. Office. It will be .~'llecessaryto present .this Proof of:

.PaYIA~nt with'·~opr
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cation,befor~'~
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new' regi~t~ation~'\'

may be' ohhrined.

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Lin!di . 20iG-G3~D051443 l tH'r!;~i ~ 22 .: ItstchH 153 nate;. Q8/t12/2012 2~31:i4 PM t'ostiriQ Typt ~ P3ym~nt
20Ul-G3"'uu2uB85" :~'-i14 -:.
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rOTAL
T~X

INT

~:J ~24 1 326.67

-( 115 :::

IlH
2u03-GZ-DOS15Gl

73=21
12G,.SQ

-~ 116 -~ .. 5517C 81",38 rDrAL 137 >t58 2Du4-D3-GG51563 117 .~.

TAX
niT

'f<'1'f,~1 ,wtnl-.-

61.30· 106:32
-I ... h

2uu5"03·uD5i569

11.0

TAX

INT
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48. 'l'i
54113

"f~T?l"\~

102.90
oj..;;

20Gb- 03- D0515b~;

lli

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INT TOTAL

48.8u
< 12D

2006-04-003D290 TUTAL
2[HJ7~U3-DD5i~;iO

>

INT

2i6.32

TflX
·~lJ·r .Utl

3,:62
r".{"lo

:'::'U::::'i.

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TOTAL 2!}D7'uH)i}S1511 T~X i

.. 122 270,. 93

INT
.TOTAL

2D3.2D
262.60

2uD8-D3-u05149b
TAX

INT

149=63
412~28

nJT(~L

124
TDT(~L ;2010 -[\3,· U051443 TAK

>

TNT

86,,26 3071"45

125 231.37

!HI

TUT

un

i~2641D4
:, Ii!:...··"

:!..-~i"j'}.J;,:

rz s l~O

:=:GGO-OS-uD2Q3b4 <22> f1UfOR VEHICLE HAfCHti D153 TF~ANS# G126 CS/02i2C12 2:3i-~55 PH p :~Yir'~eirt

CITY Dr ANSG.NlfL D~ NA~1f.~BnST!CMARION C

AUTO; FORD ./ ESCORf
f

:1996 / 126PHU

TAX:

255"!L27

127.00

..

-.------.---------.----------~--------------~~.---------~---------

2001. - ';}3- Cu20BB5 .• 114 ~

----------------~--------------~>

TfiX

INT

73:21 120:80

Torr~L
2004"03-0051563

INT

55. 'f(} f37~58 ., 117 >

Bl.BB

TAX
INT

47,52
61 3D
lt

TOTAL
20D5-U3-0G51569
"fAX INT

103.32
~ 118

>

TDTf1L .2G06-03~u051565

INT IorAL

TM

43.1'1 54;,i3 102~9D 119} %.80 'flU 8

45.33

TDTAL TAX

2006~Q4-00B0290 120 "> " HiX 216.32 WT 181. 'Ii

7t)(1 rrr o-.J/Qo:u.j

20Q7-03-00515Hl rOTAL
2DD7~(q-0051511 Tj~X

i21
,--Olll:c:...:..
=jIfl

INl

37.62
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r: .1-;"'1-

65.B'1

TotAL
INT

HiT

270.93

2008~·D3~u051496 123 >T{~X 262~bD

203.20 414.13

i49.b8
412,,28 ~. 124 ;. 22ilO19

2D[l'i-G3-DlJ514i9
.--~_. ...

86.26 TGT~L 307.45 201O-03-D051443 .• 125 :> " TAX i9LE

INY

4G~24 . 23UI7

HJT INT DJiAL

---->

TUT TAX

{~5891172 i.264.04 2,353.76

ZUDa-03-C02C364 <2~> NOTOR l;'EHICLE l~HTCHH 015'3 TRH~iS#" 0126 GBl02i20i2 2·~3i ~55 PM P·:atment

CITY Of ?1NSGNIA

n~

t-U~f1E-;BaSTIC MAR"ION C :)IN In;: i;{f~~PliJ21W.177965

AUTO; FDRD
_JNT!

TAX~

ESCORT; 19% / 126PHU

127.00
255!127 382r27

i999-G3~Ou2GB32 ·:22> MaTUR i,JEHI~LE

BATCHU 0153
rruJNS~ 0127 08/02/2012 2:32~09 PM ;~ITY.._DF flNSGNIA n~ NA}iE~BDSTrC MARION C VIH Ill:; iFHSPI1J2TW1~l7965
t-1UTO~ FORD / ESCORT /- 1996 ;" 9~IOKRe "f~X~ i4u,,98 TNT; 3GB~75

rtfx

:::16:.j£.

lNT

2EL.22

--_

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2DD'i-{)3-Qu51511 Tf1X

<

122 ';27n~93

INT
TAX TGTAL 2DD9-G3-uU514i"t

203:20
262 ~bD 412~28 124:'

2ul0-D3"'uG51443 -~.125
TRX

>

"191..63

::==::::::::;:=::.::==-=:;:==========;;::~=-=:;::::==!:.==

THT TAX TuT TNT

TsJTAL ----;0

BHTCH# D153
CITY DF ANSDNIA ih Ni~ME~BOSTIC t'1ARIGN C :·tfN IlH ~ iFASP11J2T~17?965

ESCuRT ;'1996 ;" 126?HU

DSlD2f2u12 2~32iU9

AUTO: fGR&"

ESCORT

1996

940'KRC

TOTAL ?AIB~ l'i'i8-u3-DD2981D <22} MOTOR VEHICLE BATC:H~ D153

TH~;NS~ Di28 GS/D2l2Gi2 2~32;31

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__

__

~_~Tr_~

--L-...;._..........-_

2GD8-u3-0D5149b T~X

<

123 ~; 262~6D

20u9"03-DD514i9 -; 124 ;.
TRX 221.19

TJT~L INT

412.28 86:26

-rGTAL 201D··u3-0D51443 T~X

307,.45 < 125 )-

INI TDT?L

231.&7

====~~=====~=~=========~~=~===~==
TuT TAX

2GiJO-u3-G0208&4 <22> ~iCrQR '}EHICL£

BATCH§ 0153
THANS~ D126 08/1]2/2012 2~31 ~55 Pt-l ?·'ml2nt

CiTY Of ANSONIA D~ NAME;BGSTIC MARIDN C. VIN In~ ~ lFflSPliJ2TW177965

AUT!]i FuRD.: ESCCRT·_/ i996 ,.. 26PHU i IAX~ 127~OO

i9~1;1-nZ"0020832 <22> r-UJTOR vEHICLE

BA1CHtf 0153 TRAHS~ D127 08/D2/2012 2:32'~D9 Ph

=::ITY Dr ANSONiA Di
/ 199 b ~ 940KRC

NAnt:BDSTIC MARION C
AUTO ~ FORD ./ ESCDfff

~,.!INID; ~ ifHSPi1J2TW177965

TNT;

140'C92
30B~?5

449,. 13
i9'i8-03-uG2J81G (22) IfI.HOR VEHICLE

BATGHfi D153

TRANSg Oi22 G8/VZJ2D12 2i32~31 PM

!:IT! Of ANSONIA [g NA~E; BGSTle'MARION C

VIN IDi: lFAf:P11J2T~177965

-ael.J ...~.,)

..;'~

~:- = ~'l. ~ ......

iuIAL
$3.162.D4

---.,.__._--~.--------- ----------------

-_

CITY er ANSO~IIA D: rUH1£:BOSTIC MARION C VIN IIl: ~ lFA8PllJ2HI1Tl965 HUro~- FORD / / 1996 / 940KRC

Payment

BATCHn Q46~ TRANSIl OJit G7I3D12012 2;58: 14 PM

1991~OJ-002D81B (21) MOTOR VEHICLE

"TAX:

477.82

162.18

64G.OO
%40.lJD

1997-03-0020813 <21> MOTOR VEHICLE BATCH# 0466 TRANSII 0317 07130120122i50:51 PM

NMiE ~BOSTIC MAR ION C VH/ In: ~ lFHSPllJ2TW177%5

CITY OF ANSONIA D:
f

Huro: FORD" I

TAX:

26 ..31

1'1%

940KRG

TOTAL PAID:

26.31

BATCHiiD4U

1998-D3-0020810(21)

MOTOR VEHICLE

->,

P.:l:,.-ment CITY OF ANSDNIA

TR~NS# 0318 u7/30/2012 2:52:54 PM

D:

NAM£;BOSTIC MARION C A.UTO: FORD /

HiT:
i

VIN IIJ:! lF~SP11J2TW171965

1996 ! 94DKRC

335.25
473.69

TOTAL

_._-----,----

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Revenue Records
Name/Address BLACKWELL BLACKWELL BLACKWELL BLACKWELL BLACKWELL BLACKWELL BLACKWELL BLACKWELL BLACKWELL BLACKWELL DANIEL L SR OR DANIEL L 5R OR DANIEL L 5R OR DAVID & TAMMY DAVID & TAMMY' DAVID & TAMMY DAVJD & TAMMY DAVID & TAMMY DAVID & TAMMY DAVID & TAMMY

PropertyNehicle
2007 1 HOND 2007 1 HOND 20071
HOND ACCORD ACCORD ACCORD

Outstanding

Paid

PayOnlinei

i20Q9~03-0051225 150124200 12011.03-0051254 ;50125300 12010-03-0051250 150125600 ~2007·06-0098454 [00043400 . 12008-06-0098454 J00043400 :2Q09.01.0000539 100043400 12009-06-0098454 J00043400 12010-01-0000567 t00043400 jDistrict: 10 \2010-06-0004077 !00043400 j2011-01-0043400 100043400 !District: 10

$0.00 -$0.00
. $0.00

$266.00 $267.10 $242.55 $357.40 $336,00 $6816.04 $257.40 $6948.38 $471.27 $3859.48

52 FINNEY ST '52 FINNEY ST 52 FINNEY ST 0760010 OOOA 52 FINNEYST 52 FINNEYST 076 0010 OOOA 52 FINNEYST 52 FINNEYST 076 0010 DOOA

$0.00 $0.00 $0.00 $0,00 $0.00 $0.00 $3659.48

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Town Of Ansonia

- SearCh one of the folloWing'~-~~-~~'-'---"'--'~""-'-~-' ---~~'-.--.-~-for

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._-"--_.

Revenue Records
PropertyNehicle 31 OAK LA 10800230016 31 OAK LA 10800230016 31 OAK LA 31 OAK LA 10800230016 Outstanding $0.00

__ _-•.

,
Paid $3762.08 Pay online!

i20og-01.0000540BLACKWELL :00047580 SARAH A P010-01-0000568BLACKWELL \00047580 SARAH A' iDistrict: 10 !2010-OS.0005826BLACKWELL [00047580 SARAH A i2011-01-D047580BLACKWELL !O~04!580 SARAH A :Dlstnct: 10 j2011-03-0051255 !50125400 BLACKWELL [District: 10 12011-03-0051256 /50125500 BLACKWELL iDistrict: 10 !2010-03-0051251 150125700 BLACKWELL lDistrict: 0 !2009...(J4-00S0203BLACKWELL 180020500 /2010..(14·0080210 180020500 BLACKWELL iDistrict: 10 j2008-02·0043032 143032 BLACKWELL '------~ .

DAVID B & DAVID B &

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DAVID INC ~_~~

52 FINNEY ST ctO BLACKWELL DAV BLDG & ___B_EMOD~~ .._. ~~

$0.00 .

$382.30 .

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[20 of 72 records]

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Tax. Revenue Search - Town Of Ansonia

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Town Of Ansonia

,SearchJor one of the foJ/oWing-~----------------------Bill Numoer ORUmquelD ORProfJelty Location

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______

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Outstanding $0.00 $0.00 $916.04 $0.00 $0.00 $0.00 $131.57 $0.00 . $0.00 $263.27 $130.99 $560.44 $55.88 $51.26 $127.21 Paid $389.86 $397.44 Pay i
i

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Bill #fu/D

Name/Address

ProperlyNehicle 52 FINNEYST 52 FfNNEYST 52 FINNEYST

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DAVID INC DAVID INC

Online t

i2009-02.-0040063BLACKWELL i43032 j2010-.02-0040062SLACKWELL :43032 \2011-02-0043032 :43032 BLACKWELL

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DAVID INC DAVID OR DAVID OR GENIENNE GENfENNE GENIENNE JOHN R & MARILYN N

C/O BLACKWELL DAV BLDG &

REMODEL 1999 1 OOOG 1999 1 DODG 2003 1 CHEV 2003 1 CHEV 2003 NEON NEON BlAZER BlAZER BlAZER AVE RX300

j2009-03-0051226BLACKWELL 150124300 [2008-03-0051287 BLACKWELL 150130500 ~2009-03-0051227 BLACKWELL i50124400 )2011-03-0051257 BLACKWELL :50125600 !2010-.03-0051252BLACKWELL i50125800 !2003-OS-0086600BLACKWELL !33040 GENIENNE !2007.03-0051305BLACKWELL :50130900 [30 of 72 records]

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1 CHEV

124 WESTFIELD 2000 1 LEXS

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Tax Revenue Search - Town Of Ansonia

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Town Of Ansonia

:"~ SearCh forone of thefollowlng-----~~-··~-·-~·-·-------------.. -·---~--·-·

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view bill details click on BiJI#IUID. Revenue Records

~
i

Bill tflUiD

Name/Address BLACKWELL BLACKWELL BLACKWELL BLACKWELL BLACKWELL BLACKWELL BLACKWELL BLACKWELL BLACKWELL BLACKWELL MARY MARY MARY MARY MARY MARY MARY ROBERT ROBERT ROBERT

PropertyNehicle
14 CRESTWOOD 14 CRESTWOOD 14 CRESTWOOD 070 0034 0027 14 CRESTWOOD 14 CRESTWOOD 070 0034 0027 14 CRESTWOOD 14 CRESTWOOD 070 0034 0027 35 CHURCH S1 RD RD RD RD RD RD RD

Outstanding $0.00 $0_00 $0_00 $0.00 $0.00 $0.00

Paid
$209.00

Pay Online !

12007-06-0091451
:00004770 12008-06-0091451 l00004770 :00004770

$232.00 $3792.98 $239_10 $3866.64 $245.20 $1786.43 $439_55 $567.40

12009-01-0000541
!2009-06-0091451
100004770

12010-01-0000569
J00004770

!2010-06-0000527
100004770

12011-01-0004710
100004770

$1786.43
$0.00 $0.00 $913.27
.._---

[2007-06-0086639
)00004790

i200S·06-0086639
!00004790

35 CHURCHST

f2001-03-0020695
:00020695

IB >----,~---_----[40 of 72 records]

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Tax Revenue Search - Town Of Ansonia

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Town Of Ansonia

Search oneof thefo/lowing------~---·-·------·---·-----··-----------------for

Bil/Number
oRUmquefD ORProperty Location

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os MOJO!"l VEHICLE oe - SEW""<:R USAGE

r-----·--·----------------i
Bifl #fUlD Name/Address - BLACKWELL ROBERT i2002.0z.-o051275 150127800 1B 12003-03-0051307 iS0130800

To View bill details click on BilI#IUID. Revenue Records

PropertyNehic/e 1989 1 CHEV S10 BlAZ

--~------~--.-.-----~
Outstanding Paid $65.72 Pay Online;

$29.00 $139.06 $115.27 $688.80 $144.34 $608.54

$0.00

:B'
ia

BLACKWELL

ROBERT

1989 1 CHEV

S10 BlAZ

!2001-04-00oo287 [80028900

BLACKWELL

ROBERT

1989 1 CHEV

S10 BlAZ

18

1199&04-0020117 !00020117

BLACKWELL

ROBERT J JR

h999·04-0020137
100020137 1B
t

1997 01 DODG

BLACKWELL

ROBERT J JR

1987 01 FORD

IB

[1997-03·0020650 100020650

BLACKWELL BLACKWELL BLACKWELL BLACKWELL

ROBERT J JR ROBERT J JR ROBERT J JR ROBERT J JR ROBERT J JR

1997 01 DODG 1997 1 MERC 2001 1 DODG SABLE CARAVAN SABLE SABLE

i2009-03-0051228 j50124S00 12011·03·0051258 !50125700 12010-03---0051253 150125900

$51.50

$101.10
$61.30 $0.00 $SO.50
_ __ ~______ ..._ ..___

1997 1 MERC 1997 1 MERC

D II
~~_u......,_

12008-03-0051289 BLACKWELL lS0130:..:..7~00-:__~~ __ [50 of 72 records]

-----~---

t 15~1!i!j:

0 .. ,-"w~ "

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Tax Revenue Search - Town Of Ansonia

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Town Of Ansonia

r- Search oneoftbe fo{fowing~-~------~-------"--for

BiJlNumber
• '_I L""...._'"""'~,-'d.C~~

--.---------

.. --------------.-------.- .. -

~~
<'......... ""'_...,,j

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.
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ORProperty Location

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·~-."",-c~·~·~~->." •. .•

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I:W"se13'~':'0J1

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:01 - REAL

ESTAiE :D4-MOTORVEH;CUi Si.Jpp :!!!..:!i~L ~~TAT£~gC~ __ .

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PERSONAtPROP!.:.R1Y 05-WATcRLlNEASsESSM£NT SEWcR>1.~ES§!.AEN!

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03 - MOTOR VEHiCLE 00- SEWER USAGE ..

..... __ .__ __._. .._._.

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To View bill details click on Bi/J#lUID.

RevenueRecords
PropertyNehicle 2001 1 DODG 19791 PONTC CARAVAN FIREBIRD Outstanding $16.94 Paid

Bill #/u/D

Name/Address ROBERT J JR

PayOnlinfi,

iB

!2010-Q4..0080211 BLACKWELL :80020600 12001-04-008028B !8oo29000 BLACKWELL

ROBERT J JR ROBERT J JR ROBERT J JR SHARON & ROBERT SHARON & ROBERT . SHARON & ROBERT SHARON & ROBERT SHARON & ROBERT SHARON J

$108_20 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2145.64 $26.36 $13.89 $3996.40 $515.43 $4074.00 $294.00 $2145.64 $135.49
u_ ..... ______

•
II

12005-04-00B0352 BLACKWELL (80035500 !2005-04-0080S53 180035600 )2009-01-0000542 100004790 BLACKWELL BLACKWELL

1987 1 GMC

S1500

1988 1 CHEV V10 35 CHURCH ST 022 0097 0000 35 CHURCHST 35 CHURCHST 022 0097 0000 35 CHURCHST 35 CHURCHST 022 0097 0000 2001 1 CHEV 'S'TRUCK
_ __ ~.

[2009-OEH10B6639 BLACKWELL J00004790 \2010.01-0000570 j00004790 12010.06-0000529 [00004790 BLACKWELL BLACKWELL

12011-01...(1004790 BLACKWELL !00004790 12011-03.0051259

D
•• ' ••

~012~_QQ_ __
[60

._

BLACKWELL

$0.00
_______

_.u_

of 72 records]

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Tax Revenue Search - Town Of Ansonia

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Town Of Ansonia

r- Search for one of the following --------.-BiflNumber oRUmquelD

OR Property

L_.__"~_.~" "
Location

"m

L__ "..
Number

!i

_~_<,_~..__~~~~". __ ><._~._,,._« ....• _.",.

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Name

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Firstfor""BUsiness

Name~~'--'-'-"---"'~~
® Balance Due @

19

® Current

1I&.~M!tII
ASSESSMENT

Due

:01 - REAL ESTATE

:0<' - M070FI
:Q!. ~L

02 - PERSONALPROPEFiTY

03.MOTOR

VSfiCU::

VcHfCLESUPP ES!.@:~ SPECiAL __ ~

..2!}_:.S£l·-IER ':'SSESSMENT

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Of! - SE",¥"'...R USAGE

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. i

,------.-------.-----------Bill #/UIO

To view bill details click on BiII#lUID.

Reven~ Re~rds ----------.-----------.---~-.""

PropertyNehicie Outstanding Paid Pay Online

. Name/Address

!2011-03-0051260 BLACKWELL SHARON J 150125900 12010-03-0051254 BLACKWELL SHARON J :50126000 \2010-03-0051255 BLACKWELL SHARON J )50126100 i2011.03-0051261 BLACKWELL SHARON J OR 150126000 1~~6~~~~080212 BLACKWELL SHARON J OR 12009-03-0051229 BLACKWELL SR DAVID B 150124600 !2010-03-0051256 BLACKWELL SR DAVID B 150126200 :2008-03-0051290 150130800 BLACKWELL SR DAVID B

2008 15 TOYT SIENNA 2001 1 CHEV 'STRUCK .2008 15 TOYT SIENNA 2011 1 HYUN ElANTRA 2011 1 HYUN ELANTRA 1999 1 JEEP WRANGLER 1999 1 JEEP WRANGLER 1999 1 JEEP WRANGLER 1990 1 NISS 240SX

$0.00 $0.00 $0.00 $357.42 $0.00 $0_00 $0.00 $0.00 $172.17

$372.72 $130.99 $352.01

$133.90 $130_99 $133.Q7 ~ Wl!MfiI ._. page 7/8 ~ __ ., .__

!~~~l~~O~~~SO
[70 of 72 records}

12002-03--0051279 \50128200 BLACKWELL STEPHANIE

~_~~C~~_~~~_TEP~~~~~~~~~!_~ER_~__§~2_~~~~_!~,~_:_~~
Go to

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Town Of Ansonia

;- Search oneof thefollowlng----------------for

Bill Number
OR Unique

fD

L... '._""~.~_~"_,~_._~".~"'m~'_.. _.",,_."·~,.~_••,_~"~=m.n<j " ~ ..... .. •. •• ,

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_To view bill.!!efai/s c~pk on BiJlft(!!!.Q:__ Revenue Records Name/Address PropertyNehicie 2000 1 GMC YUKON ID 2000 1 GMC YUKON ID .
Outstanding $144.96 $79.23

•__

Bill#tu/D

Paid Pay Online

!2011-03..o051262

150126100 BLACKWELLVENDELLIAL ~2010.04-00a0213 . \80020800 BLACKWELLVENDELUA L

[72

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Tax Revenue Search - Town Of Ansonia

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Town Of Ansonia

!Bill#:
!Un/qUe/D: I . lDistrict & Flag: IName: [Address:
I

Tax Payer Information 2010-3-0051251 (MOTOR VEHICLE) 50125700 District: [) BLACKWEll DAVID B OR

IVehicfe Info: . r !Due 1; !Oue2: !Oue3: IDue4:

~_

2010 1 FORD EDGE

------~-----.---------.-----------~_.._.._,-_.
as 0(0810812012 $571.99 Totalfnstallments: $0.00 Peid: $0.00 TaxIPrinclBint Due: $0.00 Interest Due: $571.99 Lien Due: $0.00 Fee Due; Total Due Now:
_

Billinfomation 07/0112011 install 1: install 2: install 3: install 4;

i j

Totai:
Total Adjustment:

ITo Pay
i i

T1!_isBill

$571.99 $571.99 $0.00 $0.00 $0.00 $0.00 $0.00

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I
Pay Date Type PAY

Payment History
Tax/Principal

interest
$68.64 $-68.64 $68.64

Lien

Fee

Total

[02128/2012 !02l2712012 !02l24/2012

.__

$571.99 PAY $-571.99 .:..P~AY.,--_-,$=571.99

$0.00 $0.00 $0.00

$0.00 $0.00 $0.00

$640.63 $-64Q.63 .._. $640&L..__

.~

l*TiliSi"s not a tax form, contact your tax office or financial aCivlsorfor mformation regardingtax
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lof2 -.-

8/8/20128:38 AM ... ---~-------,.--------......,.-,..------~~==~-

Tax Revenue Search - Town Of Ansonia

htlps://www.mytaxbill.org/inetJrevenue!summary.dO?type=O&byear=

...

Town Of Ansonia

lBi!f#:

iUnlque/D: !District & Flag: ]Name:

2009-4-0080203 80020500

Tax Payer information (MOTOR VEHICLE SUPP )

BLACKWELLDAVID8 OR

!Address:
1Vehicle Info:

r--·-~~-.----·--~~~.-...-.-·'Biii ;;~f08108/2012 Infumation

)Due1: iDue 2: IOue 3: !Due 4:
1.,'

'--'-'-------._.....,..---01/01/2011

2010 1 FORD EDGE

__

._. __ _:.i

l.!~Pa_¥....!his Bill
1

instaJlt: install 2: install 3: Install 4: Toiei: Total Adjustment: _.

$520.18 $0.00 $0.00 $0.00 $520.18 $0.00 .. __

Totallnsiaflments: Paid: Tax/Princ/Bint Due:

Interest Due:

Lien Due: Fee Due:

in Full:

~~~

$520.18 $520.18 $0.00 $0;00 $0.00 $0.00 SO.OO $0.00

r---·-----------------··i
Pay Date Type

Pay;;';ent Hisi~ry---Interest Lien Fee Total

Tax/Principa/

10212812012 102127/2012 102124/2012 .

PAY $520.18 PAY $-520.18 PAY .__ ._$5=20=...:..:18~_

$109.24 $-109.24 $109.24

$0.00 $0.00 $629.42 $0.00 $0.00 $-029.42 $.=0=.0",,-0_--,,-$0.00 .~_j§_29,~

.l

EI~tal Payments made to taxes tn 2011: FThis

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is not a tax form; contact

.. __ ................... _~ .~

~_~_~_~.__

your tax office or financial advisor for information regarding tax rep~.~!.~rt j
._~_,n • .......... ~__ ._ ,.

10f2 8/8/20128:38 AM ---------.,----~------------~--------------~,~------------~==~~

Tax Revenue Search - Town Of Ansonia

https:!!www.mytaxbill.orglinetJrevenue/summary.do?type=O&byear=

...

Town Of Ansonia

iBm #:

iUmquelD:
jDistrict & Flag: !Name: L4ddress: jPro~rty !:.ocation: 1

2008-2-0043032 43032 BLACKWELL

Tax Payer Information (PERSONALPROPERTY

--'----_._-_._--)

-~----~--

DAVID INC

52 FINNEY ST C/O BLACKWELLOAV

BLDG & REMODEL

-'--'~-~------. -~---------"':'_----_.~-.-~------"

r------ .....:...-~~~-------~--------.~---.

lDue 1:

l!.:~,~ay Bill in Full: !!!.!~

Pay Date Type Tax/Princlpat

...i :",

IDue 2: [Due 3:
Due

07/01/2009 01/0112010

install 1: Install 2: install 3:

4:

';:r~::

Billlnfomation as of 08108/2012 $191.15 Total Installments: $191.15 Paid: $0.00 TaxlPrincJBint Due: $$$0~8.00200.30 ~~~~~ue: Z Fee Due: Total Due Now: _--'--.. Payment History

'

$382.30 $382.30 $0.00

4: Total Adjustment:

:~:~~
$0.00 $0.00 $0.00 _._-'
..

._-_._-_.---------------_._-_----_----_ Interest
.!:!_66.3Q _
Lien Fee

_--_ ...._--

Totai

j02l24/.:::.20,,_1:.=2o.__ . __

__P_A_Y

._$""'3c:_8=2.""30"-

. ..

$0.00

$0.00::.:°'-----'$""5..::;48.60________ ! $0400----1
__,

[*Total Payments made to taxes In 2011: ~

...............

L.._, __

~------------.----

~~_L.____,__,___,_,

lof2

8/8/20128:40 AM

Tax Revenue Search - Town Of Ansonia

https:l!www.mytaxbill.orgiinetirevenue!summary.dO?type=O&byear-=

...

Town Of Ansonia

i--~~~' --~--'c-~---. -'-'"TaxPaverInformation !

iBiJl #:
iUmque [Name: !

u»

2009-2-0040063 (PERSONALPROPERTY)
43032 BLACKWELL DAVID INC

lDistrict & Flag:

!Address:
52 FINNEY ST ~s of Q8;08/20i2----··---~--·--·----····-·------·· $1039.79 $1039.79 $0.00 $0.00 $2079.58 $-1689.72 Tota/lnstallments: Paid: Tax/PrinclBint Due: tnterest Due: Lien Due: Fee Due: Total Due Now:
$389.86 $389.86

lprot>erty Location:

r.---.--...------~~---··----~· ~Billinfomati;;n
07/01/2010 01/01/2011

IDue 1: !Due 2: IDue 3: !Due 4:

!
j

fnstall1: Instal12: install 3: install 4: Total: Total Adjustment:

. $0.00
$0.00 $0.00 $0.00

iTo Pay This Bill in Full:

$0.00 $0.00

,
Pay Date Type

PaymentHistory
Tax/Principal Interest Uen Fee Total

105/31/2012 i02l24/201:<!______

PAY PAY_.

$-1689.72 $207~~

$0.00 .1~0.30

.__

$0.00 $O.OJ? _

___1Q,_Q.9 __ ~$~.9J.&~. __.__

$0.00

. $-1689.72

iof.~2~

~~~

8~/~8/~20~1~2~8~: __

Tax Revenue Search - Town Of Ansoma

https:llwww.mytaxbill.orglinetirevenue/summary.ao?type=O&byear=

...

Town Of Ansonia

!BiJI#: !UmqueID:
lDistTict & Flag:

Tax Payer Information 2010-2-0040062 (PERSONALPROPERTY) 43032 BLACKWELL DAVID INC

iName:
i

iAddress; . iProoorty Location: 52FINNEYST as ~-f O~iiO-8I.-'2-012-·---· $428.40 $428.40 $0.00 $0.00 $856.80 $-459.36

e',.1

r'-'--~'-------'----~-~------Jnfomati~n Bill
1:
lDue 2:

-- ..----.---.---.----.--

..._...- .... ...-.-.-$397.44 $397.44 $0.00 $0.00 $0.00 $0.00 $0.00

07/01/2011 01/02/2012

!Due 3: iDue 4:

!
iTo Pay This Bill in Fu":
i

Install 1: Install 2; install 3: mstall4: Total: Total Adjustment:

Tota/lnstallments: Paid: Tax/Prine/Bint Due: Interest Due: Lien Due: Fee Due: Total Due Now: ___ --.-~$O.O-O

....!

Payment History
Pay Date Type Tax/Principal Interest Lien

105/31/2012 102l2412012~

PAY ._ PAy'__

$-459.36 ~856.80

___!~.!~§_

$0.00

_
.

$0.00 $0.00 .

Fee $0.00 $O,Q_Q_ ~.~

Total,

$-459.36 $9~:QL._.

_j

i" Totai Payments made to !axes in 2011:

------ .-~---.-----. ---- ..---.--~-..

.. _ ~O.OO_._ _ .. ., _

~----

lof2

8/8/20128:41

AM

Tax Revenue Search - Town Of Ansonia

https:llwww.mytaxbill.orgiinetirevenueisummary.do?type=O&byear=

...

Town Of Ansonia

, , ,
lBilJ#: !UntqueJD: !District & Flag:
!Name: -. 2009-3-0051229 50124600

Tax Payer information

(MOTOR VEHICLE)

BLACJ<1NELL SR DAVID B

iAddress:

!Vehicle info:
r-·---....:.._-----.........~-..:..;--;...._-·--·-·

1999 1 . JEEP
._.

WRANGLER.
~--~..;..---·------____,-----~--..;__--.------~..........,,_-, .....

Bifllnfomation
07/01/2010

as of 08/0812012
$133.90

--------7

iDue 1: !Due 2: !Due 3:

[.,Due
4:

instafl1: install 2: instafl3: ~::::: 4:

$0.00
$0.00 !~303~90 $0.00 ~ Payment .._._.

~~:re;~~ue:
Fee Due:

Total fnstalfments: Paid: Tax/Princ/Bint Due:

$133.90 $133.90 $0.00

~~:~~
$0.00 $0.00
.

i
ITo Pay This Bill in Fl!1E.___

Tota/Adjustment:
. __ ~

Total Due Now:

::..:$Q.:Q.Q ... ~

,, , , ,

History
Interest Lien Fee Total

Pay Date

Type
PAY

Tax/PrincIpal

i02l2812012

$133.90

$40.17

$"",O=.O.=..O _-"'$0=.0=0

_!174.0?_~

__j

i" This ...............

.._

is not a tax form, contact your tax office or. financial advisor for Information , ----~ . -.
,

regarding- tax reporting. _._.:

-----------:

10f2

8/8/20128:43

AM

Tax Revenue Search - Town Of Ansonia

https:llwww.mytaxbill.orgiinetirevenueisummruy.do.?type=O&byear=

...

Town Of Ansonia

, ,
lBiIJ #:
!UmaueID: !District & Flag: 2010-3-0051256 50126200

Tax Payer Information

(MOTOR VEHICLE)

iName:

BLACKWELL SR DAVID B

iAddress: ; ivehicle

.---------~~-~-'--~-~-IDue 1:

mfo: .-~--~--~--'-'---1999

1 JEEP WRANGLER BiIIlnfomation

07/0112011

!Due2: rOue 3:
iDue4:

install 1: install 2: install 3:

Install 4:

as of 08/08/2012 $130_99 Tota/lnstallments: $0.00 Paid:

$0_00 $0.00 $130.99 $0.00 Tax/Princ/Bint interest Due: Lien Due; Fee Due:

.-----~-.-----------,.------~-.--.-.---.---------------~~------i·
$130.99 $130.99 $0.00 $0.00 $0.00 $0_00 $0.00 $0.00

Due:

!
I i

! i ,

Total: Total Adjustment:

Total Due Now:

__ .__ ~

[To Pay This Bill in Full:

r----.......___.,..-~-'-·Pay Date Type [02124/2012

-----.~-.-.----Tax/Princ/pal $130.99 ~,,-,

Payment History
Interest $15_72 Lien $0.00 Fee $0.00 Total __$1~1?_:?1,~ .__ _j

_E.~,-,-Y __

LTot~' ~!!X!!!_~1!_!~mii!!!e to _t__~~.!!_IJ.J()!!_:_

-----------------~---.--------.-----------.
. ~_~ ~_~
tax form, contact your tax office or financial advi:;or !or mformatlon

.. ~~ __~~~ __.•$O.~O_~ .

-----_.-. J
tax 1~~~rj'i~iJ .

I" This-iSoo!;

rEi?gardlng

i of2 8/8/20128:44 -------. ------.-~,------,r----------.........r__.,.,..--------=-=--===...;:~==---

AM

Tax Revenue Search - Town Of Ansorua

https:llvrww.mytaxbill.orgiinetirevenue/summary.do?type=O&byea:r=

...

Town Of Ansonia

tBiIJ#: iUn/queID: I . !District & Flag: jName: !Address:

Tax Payer information 2008-3-0051290 (MOTORVEHICLE) 50130800 BLACKWELLSR DAVID B

LVehwwm~fu~:

~_

1999 1 JEEP WRANGLER

.--~~----------------..----------------.---------.-.---~-----~ -----........
07/01/2009

-_.. __

._---_._-_._------------_!
$133.07 $133.Q7 $0.00 $0.00 $0.00 $0,00 $0.00

!Due 1: IDue 2: IDue 3: !Due 4: j

I,.,

Bill Infomation install 1: install 2: install 3: install 4: Totai: Total Adjustment:

iTo Pay This Bill

, ,
C".---~ Pay Date

as of 08/08/2012 $133.07 Total Installments: $0,00 Paid: $0.00 TaxfPrinC/Bint Due: $0.00. , Interest Due: $133.07 Lien Due: . $0.00 Fee Due: Total Due Now:

in Full: Payment History

Type Tax/Principal

.JO.~

__

[0212812012 __ __

---'P'-'-A-"'Y'--_~$~133.07

Interest ._ $63.8I._.

Lien Fee Total ~Q,QQ___.§0.00_.. ~196.94 _ _.... _

._.~...:_ .....::.__._. .. _ _

.. _ _ .__ ....

J.~:~!!__j __ .

fThis is not a tax form, contact your tax omc~_~ financl~1 advisorfor inf~rmation~~!~ding tax_rep~~-l

lof2

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