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Act of God / Damaged / Destroyed <br />This form is used to calculate the Maximum Assessed Value of a property after an improvement or improvements have been demolished <br />or destroyed. Fill in appropriate fields. When finished print: a copy of this form, screen 14, and improvement segments being removed. <br />Account #: <br />I and S level path of <br />removed segment <br />(L or I screen) <br />Description of <br />removed segment <br />(I screen) <br />RMV of removed <br />segment <br />(I screen) <br />RMV of removed improvement(s): <br />RMV total non LSU (screen 14): <br />Previous MAV value or previous <br />assessed non LSU value (14 screen): <br />Ratio of removed improvement(s) to <br />total RMV non LSU: <br />Initials, Appraiser #, Date <br />A <br />B <br />C <br />D <br />E <br />F Corrected previous assessed non LSU <br />value: <br />Clerk <br />By: <br />Year for: <br /> MAV of removed improvements: <br /> A / B <br />C x D <br />D - E <br />Total RMV removed: <br />= <br />Exception <br />R22321 <br />I3 Recreation Bldg 5,000 <br />5,000 <br />6,727,100 <br />2,864,510 <br />0.001 <br />R22321 2,862,380 <br />5,000 <br />2021-22 <br />2,862,380 <br />2,130 <br />CJ #93 8/24/21GONE <br />input by LS89