HomeMy WebLinkAbout20202576.tiff0
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Estimated time for Petitioner to present the appeal: minutes or
Not less than 30 minutes. Board will allow equal time to County or Property Tax Administrator.
Appearance:
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Petitioner will be present at the hearing
Petitioner will be represented by an agent
Petitioner will be represented by an attorney
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PETITION TO STATE BOARD OF ASSESSMENT APPEALS
1313 Sherman Street, Suite 315 Phone: (303) 864-7710
Denver, Colorado 80203 Email: baa@state.co.us
Property Owner:
Subject Property:
Schedule Number(s):
Date:
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Street Address
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Attach separate sheet if necessary
Appeals the decision of the
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r
County
'Board of Equalization
uard of Commissioners
State Property Tax Administrator
For Office Use Only
Docket No.
Fee: Y N
Check/Credit Card #
H
Dated:
This appeal concerns:yaValuation ■ Refund/Abatement ■ Exemption ■ State Assessed Tax Year:
The subject property is currently classified as:
SAgricultural ■ Commercial ■ Mixed -Use Oil & Gas
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Vacant Land Residential ❑ State Assessed
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■ ■
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Non -Exempt (or Partially Non -Exempt)
Personal Property II Other:
The subject property should be classified as (if different than the current classification):
Actual value assigned to subject property: n„,/, _ Petitioner's estimate of value: r OCt/(/r j �
(6,
RECEIVED
hours.
Petitioner will appear by telephone
Petitioner is responsible for calling the Board at 303-864-7710
on the scheduled date and time of the hearing I:Mountain Time Zone) WELD COUNTYCOMMISSIONERS
Petitioner would like to appear by video conference
Petitioner must contact the Board at 303-864-7710 at least 21 days in advance
of the scheduled hearing to confirm availability of video conference equipment.
AUG 1 1 2010
If the property owner is an entity, it must appear under the representation of an attorney licensed in Colorado except as follows: A closely held entity
may be represented by an officer of the entity as long as the amount in controversy does not exceed $ 15,000, exclusive of costs, interest or statutory
penalties. A closely held entity can have no more than three owners. See Section 13-1-127, C.R.S. A closely held entity that will be represented by
an officer of the entity must provide a letter to the Board with this petition stating that it has no more than three owners and that the tax
amount at issue does not exceed $15,000. A trust filing a petition may be represented by a trustee, an attorney or an agent.
Filing Fee:
None
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$33.75
$101.25
Petitioner will be represented by an agent or by an attorney.
In the space belo
2
JN �V
C 1/ 17.
Cash is not accepted
Petitioner is appearing pro se (self -represented) and has not filed more than two petitions with the Board
of Assessment Appeals during this fiscal year (July 1 — June 30).
Petitioner is appearing pro se (self -represented) and has filed more than two petitions with the Board of
Assessment Appeals during this fiscal year (July 1 — June 30). cc : ASR(8D0M/CA),
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please explain why you disagree with the value assigned to th - subject propert
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Required attachments to this' form:
❑Assessor's or_ Property Tax Administrator's Notice of Valuation or Notice of Denial 1 - ecision of County Board of�'E(qualization,, County Board of Commissioners or Property Tax Administrator ''
' Attachments required under certain circumstances' , _
_.e rr ', .- , - _x
DA'notarized,Letter of Authorization if an agent;will be representing Petitioner, - _ _, -
- DA list of names, last known addresses_ and telephone numbers of co -owners or -parties -directly-interest-0 in the�subject -
property if applicable , , . '
ur
Certificate of Service
I hereby certify that a true:and correctcopy of the foregoing Petition to the State Board of -Assessment Appeals and
attachments=were i9ded, or<hand delivered to
County:
-at the following address
Li?
}- 0 Board of Equalization
" ,O Board,of,Cornimissioners-
" D State Property, Tax Administrator
ee, yi.6 Of
- I hereby certify that a true and `correct copy of the foregoing Petition to the State Board of Assessment Appeals and,
_attachments were' mailed, or hand delivered_to all co -owners or parties directly interested in the'subject property -
on L
-` Date
-, 'I hereby certify that four (4):true;and correct copies of the�foregoing PetitionLto the State�Board of AssessmentAppeals
;and attachments were�mailed or hand delivered to the Board of Assessment Appeals at 1313, Sherman Street; Suite,315,-
_ ,Denver, CO 80203 - - ,
on.
Date
:PETITIONER'S MAILING ADDRESS IS REQUIRED EVEN IF -PETITIONER IS REPRESENTED
r' Signature of A,gentO or Attorney]] -`
Printed Name
_ Mailing Address,
City, -State', Zip Code
Telephone
- E -Mad
Printed
Mailing
ame
��
Address
City, State, Zi Code
1
- Telephone Z2
' Dytimep4Imber , _R
E -Mail
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It is the Petitioner's responsibility to notify_the BAA of any
change of address
Petitioners are strongly encouraged to read the Instructions and Rules'of the, Board of Assessment Appeals prior to ,
,completing this Petition Form The Instructions and Rules are available on the Internet at www dola 'Colorado qov/baa or ` -
may be requested'by phone at 303-864-7710 L - ,
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