List of tax liens on real estate sold in the county of ____________________________________________, in the month (or months) of _____________________________, 20____ , for nonpayment of taxes thereon for the year (or years) 20____, and purchased by individuals or certified to the Auditor of the State of West Virginia:
Name of person charged with taxes | Local descrip- tion of lands | Quantity of land charged | Quantity of land for which tax lien is sold | Name of purchaser | Whole amount paid by purchaser |
Given under my hand this _____________ day of ________________, 20____.
__________________________________
Sheriff
To cover the costs of preparing and publishing such list, a charge of fifteen shall be added to the taxes, interest and charges already due on each item listed.