(2) The form of the certificate of redemption must be made as follows: CERTIFICATE OF REDEMPTION
I, ........., the treasurer of .............. County, certify the following:
1. For tax years .......... (years), the taxes were delinquent on the following real property: ........ (description of the property).2. The tax lien was attached to the property on.........(date of attachment of the tax lien). Tax Lien Certificate No. ..... and Assignment Certificate No. ..... (if applicable).3. The tax lien was redeemed on ........ (date of redemption) by the payment of: Taxes..........
Penalty..........
Interest..........
Cost..........
Total..........
Receipt Number..........
4. The redemption was made by ........... (name of redemptioner). Date: ..........
..............................
Signature