HomeMy WebLinkAbout20193935.tiff- -ai 14�"�7 )
RECEIVED
PETITION TO STATE BOARD OF ASSESSMENT APPEALS7,:. 3
2019
1313 Sherman Street, Suite 315 Phone: (303) 864-7710
Denver, Colorado 80203 Email: baa@state.co.us
Property Owner:
Subject Property:
WELD COUNTY
COMMISSIONERS
Date:
,41 l t' of
7,;; q /6.1c44"
Street Address City
Schedule Number(s):
Attach separate sheet if necessary
Board of Equalization
❑ Board of Commissioners
❑State Property Tax Administrator
Appeals the decision of the
County
/
For Office Use Only
Docket No.
Fee: Y N
Check/Credit Card #
P
H
Dated: .i9-- ;ON '6pin
This appeal concerns; Valuation ❑ Refund/Abatement ❑ Exemption ❑ State Assessed Tax Year: �J /
The subject property is currently classified as:
['Agricultural ❑Commercial ❑Mixed -Use ❑Oil & Gas ❑Non -Exempt (or Partially Non -Exempt)
❑Vacant Land'J'Residential ❑ State Assessed ❑ Personal Property ❑Other:
The subject property should be classified as (if different than the current classification):
Actual value assigned to subject property: 33,2, F0O
Petitioner's estimate of value:
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:
1
hours.
❑ Petitioner will be present at the hearing },Petitioner will appear by telephone
['Petitioner will be represented by an agent Petitioner is responsible for calling the Board at 303-864-7710
❑ Petitioner will be represented by an attorney on the scheduled date and time of the hearing (Mountain Time Zone)
❑ 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.
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: Cash is not accepted
J'None 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).
❑$33.75 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).
❑ $101.25 Petitioner will be represented by an agent or by an attorney.
In the space below, please explain why you disagree with the value assigned to the subject property:
-7120-?Y
g
1j e, C'ee
r
/jP, /( /?
cc CAS R C 60 f OW1(CCt. , Cci C K W%)
09/03/(9
aOrrt VtVr CA-} i Orls
09(09/19
2019-3935
^50103
Required attachments to this form:
[Assessor's or Property Tax Administrator's Notice of Valuation or Notice of Denial
❑ Decision of County Board of Equalization, County Board of Commissioners or Property Tax Administrator
Attachments required under certain circumstances:
❑A notarized Letter of Authorization if an agent will be representing Petitioner
❑A list of names, last known addresses and telephone numbers of co -owners or parties directly interested in the subject
property if applicable.
Certificate of Service
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:
f.1-1(-7.
County
at the following address:
.M Board of Equalization
❑ Board of Commissioners
'State Property Tax Administrator
on 17'z_ d�
Date
f� it?
& 75
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 t^✓ . i f 449/9 ',J. c_ ii-� p-,�.�.--tip=
(if Date 4-- : /,,..- t ' 0t --r
,f
I hereby certify that four (4) true and correct copies of the foregoing Petition to the State Board of Assessment Appeals
and attachments were mailed or hand delivered to the Board of Assessment Appeals at 1313 Sherman Street, Suite 315,
Denver, CO 80203
on f1r, / /9.
�TDate
/2.
PETITIONER'S MAILING ADDRESS IS REQUIRED EVEN IF PETITIONER IS REPRESENTED BY AN AGENT OR ATTORNEY
Signature of Agent❑ or Attorney ❑
Printed Name
Mailing Address
Signature of Petitionet
r
Printed Name
/9'9
raj
Mailing Address
60 � � �...., /644
i
V '
City, State, Zip Code City, State, Zip Code t "
Telephone: Telephone: /
E -Mail: E -Mail: 5A 1 r /' 'kJ /'9•
' at, 47 617i1
It is the Petitioner's F sponsibility 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.
Daytime number
Hello