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PETITION TO THE STATE HOARD OF ASSESSMENT APPEALS
date: August 22 , 1991
BOARD OF ASSESSMENT APPEALS:
Your Petitioner. Sam's Automotive
(name of property owner)
2417 9th Ave. — CO
(Street address, City, State, Zip Code of subject proper"t"y)
hereby appeals the decision of the (check: one of the following)
X County Loa rd of Equalization, County Board of Commi=?.ioners or
Property Tax Administrator dated August 2
for property
located in the county of Weld concerning (check: one
of the following) X Valuation _Refund _Ex mption _Abatement for the
tax year (e)
COUNTY SCHEDULE NUMBER OR PARCEL NUMBER: 096117304022/R3533386
(Make sure that your appeal includes a complete legal description of the
eject property ( i?s) . If multiple properties are involved, a list of
schedule numbers must be attached. )
PROPERTY CLASSIFICATION: This property is classified as: (Please check
one of the following)
Commercial Personal Property X Residential Vacant land
Industrial Agricultural Natural Resources Producing Mines
Oil and Gas State assessed Exempt
•
ATTACHMENTS TO THIS PETITION FORM: (Please check: off the required
attachments)
X The decision being appealed.
A notarized letter of •authoric_.Lion if an agent is filing for or
representing a petitioner.
The Assessor 's Notice of Denial or Notice of Valuation.
X Statement of issues involved in this appeal . Petitioner opposes
1991 valuation.
ESTIMATED TIME FOR PETITIONER TO PRESENT THE APPEAL:
60 minute=_ or hours
REPRESENTATION: Please =heck: appropriate responses)
Petitioner will be present at the hearing.
Petitioner requee.ts that the Board rule on the documentation
submitted. Telephone c=onference call will be required.
Petitioner will be represented by an agent.
X Petitioner will be represented by a Colorado Attorney.
Please inform the Smarr in writing if representation change= are mace
prior to nearing.
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911943
CERTIFICATE OF SERVICE
I certify to the Board of Assessment Appeals that I have mailed or
hand delivered one complete copy to the Weld ( indicate one
(County Name)
of the following) X County Board of Equalization, County Board of
Commissioners, or Property Tax Administrator in Greeley
(City)
Colorado, on August 30, 1991.
1
Julie; vreni ham{ Petitioner's signature
*Attorney for Pe itioner
Rea_ . No. 1502
PO Box Ili Petitioner 's mailing address
Loveland, Colorado SVS•_9
Petitioner ' s Telephone No.
Please indicate whether this is an attorney or an agent .
Please +ill out attorney information only it a Colorado attorney will
be representing you at the hearing. An attorney may be retained at any
time subsequent to filing appeal ; howe,:er, if an attorney is later
retained, an entry of appearance is required prior to hearing.
T1Oipeti tion. frm
EAA—I i Rev. 91
#?=48
p.age C of
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