HomeMy WebLinkAbout911920.tiff • - ry ' ' 'PETITION TO THE STATE BOARD OF ASSESSMENT APPEALS
Date: AuctLsf 15 , 19q1
BOARD OF ASSESSMENT APPEALS:
Your Petitioner, 134k (venue. Areeleyy CO
(name of property-bwner)
1O01 13* (\venue Cite Cie ( O RQ(s31
(street address, City, State, Zip Code of subject property)
hereby appeals the decision of the (check one of the following)
XCounty Board of Equalization, _County Board of Commissioners or
Property Tax Administrator dated Au5t:.S} a , 199i , for property
located in the county of Weld J concerning (check one
of the following) X Valuation _Refund _Exemption _Abatement for the
tax year(s)
COUNTY SCHEDULE NUMBER OR PARCEL NUMBER: 09(010(0113 n O 1 l
(Make sure that your appeal includes a complete legal description of the
subject property(ies) . 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 authorization if an agent is filing for or
representing a petitioner.
The Assessor's Notice of Denial or Notice of Valuation.
Statement of issues involved in this appeal.
ESTIMATED TIME FOR PETITIONER TO PRESENT .THE APPEAL:
(00 minutes or ( hours
REPRESENTATION: (Please check appropriate responses)
Petitioner will be present at the hearing.
_Petitioner requests that the Board rule on the documentation
submitted. Telephone conference call will be required.
Petitioner will be represented by an agent.
_(_Petitioner will be represented by a Colorado Attorney.
Please inform the Board in writing if representation changes are made
prior to hearing.
1
/LS00n i • 911920
CERTIFICATE OF SERVICE
I certify to the Board of Assessment Appeals that I have mailed or
hand delivered one complete copy to the VVPl a (indicate one
(County Name)
of the following) X County Board of Equalization, _County Board of
Commissioners, or _Property Tax Administrator in ereelc
Colorado, on /II , , ly-7/.
Tu_Re- Greni , A orne.(
*Attorney or Agent for Petitioner Petitioner's signature
Rec . No. 150.)
Attorney's or Agent's Address Petitioner's mailing address
rbsi- n-[g'rP gox 11.2
Love I o C ) 705.39
303- bto9-32103 , 303-109(4-0 4 3(n
Attorney's/Agent s Telephone No. Petitioner's Telephone No.
*Please indicate whether this is an attorney or an agent.
Please fill out attorney information only if a Colorado attorney will
be representing you at the hearing. An attorney may be retained at any
time subsequent to filing appeal; however, if an attorney is later
retained, an entry of appearance is required prior to hearing.
T10/petition. frm
BAA-1/Rev. 91
J 2
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