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_______________________State: _____________ Zip: _______________ Phone Number: ____________________ Work Number: ___________________ I, ______________________________ do hereby apply to redeem property sold for taxes in the name of __________________________________ described as ______________________,in___________________ district, in ____________ County, West Virginia. I certify that I am a person entitled to redeem pursuant to West Virginia Code 11A-3-56, and/or 11A-1-9, for the following .

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