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Home My WebLink About20191999RESOLUTION RE: ACTION OF THE BOARD CONCERNING PETITION FOR ABATEMENT OR REFUND OF TAXES FOR ACCOUNT NUMBER R7536099 - BFI MEDICAL WASTE, INC., C/O STERICYCLE, INC. WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board of County Commissioners of Weld County, State of Colorado, at a duly and lawfully called regular meeting held on the 29th day of May, 2019, at which meeting there were present the following members: Chair Barbara Kirkmeyer, and Commissioners Mike Freeman, Sean P. Conway, Scott K. James, and Steve Moreno, and WHEREAS, notice of such meeting and an opportunity to be present has been given to the taxpayer and the Assessor of said County, with said Assessor, Brenda Dones, being present, and taxpayer, BFI Medical Waste, Inc., c/o Stericycle, Inc., being represented by Joseph C. Sansone Company, not being present, and WHEREAS, the Board of County Commissioners has carefully considered the attached petition, and is fully advised in relation thereto. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Board concurs with the recommendation of the Assessor and the petition be, and hereby is, denied, and an abatement or refund be allowed as follows: CORRECTION TO ASSESSED VALUATION ABATEMENT OR REFUND TAX YEAR $0.00 $0.00 2016 cc.: GA-PPL, O.PPL REP 05/30 t9 cc: Ca.SRc3O/3M/OK /LL), ca_c 00007/19 2019-1999 AS0102 TAX ABATEMENT PETITION - BFI MEDICAL WASTE, INC., C/O STERICYCLE, INC. PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 29th day of May, A.D., 2019. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: datAtA) JeilD ; Weld County Clerk to the Board Date of signature: /12..)O/i(7 Eyrui;(, arbara Kirkmeyer, Chbir Mike Freeman, Pro-Tem 2019-1999 AS0102 PETITION FOR ABATEMENT OR REFUND OF TAnCEIVED VED County: Weld Date Received (Use Assessor's or CommCs' 7t6Stzgla Section I: Petitioner, please complete Section I only. Date: 12/21/2018 Month flay Year Petitioner's Name: BFI MEDICAL WASTE I N C Petitioner's Mailing Address: c/o Joseph C. Sansone Company, David Johnson 18040 Edison Avenue, Chesterfield Missouri WELD COUNTY ASSESSOR GREELEY, COLORADO 63005 RECEIVED ''.',Y 012019 City or Town SCHEDULE OR PARCEL NUMBER(S) 146701401001 %1L3 tpoqq State Zip Code PROPERTY ADDRESS OR LEGAL DESCRIPTION OF PROPERTYCOMMISSIONERS 5355 COLORADO BOULEVARD PROPERTYCOMMISSIONERS IV �7 WELD COUNTY Petitioner requests an abatement or refurtd0o1 gte appropriate taxes and states that the taxes assessed against the above property for the property tax year 1 1 O are incorrect for the following reasons: (Briefly describe why the taxes have been levied erroneously or illegally, whether due to erroneous valuation, irregularity in levying, clerical error, or overvaluation. Attach additional sheets if necessary.) The Assessor's calculation of value exceeds the actual Fair Market value of the property. Petitioner's estimate of value: $ See Attached ( 2016 ) Value Year I declare, under penalty of perjury in the second degree, that this petition, together with any accompanying exhibits or statements, has been prepared or examined by me, and to the best of my knowledge, information, and belief, is true, correct, and complete. By Petitioner's Signature Agent's Signatu David Johnson, Joseph C. Sansone C appeals@jcsco.com Printed Name: mail Daytime Phone Number 1 ) Email Daytime Phone Number ( 636 ) 733-5455 *Letter of agency must be attached when petition is submitted by an agent. If the Board of County Commissioners, pursuant to § 39-10-114(1), C.R.S., or the Property Tax Administrator, pursuant to § 39-2-116, C.R.S., denies the petition for refund or abatement of taxes in whole or in part, the Petitioner may appeal to the Board of Assessment Appeals pursuant to the provisions of § 39-2-125, C.R.S., within thirty days of the entry of any such decision, § 39-10-114.5(1), C.R.S. Section II: Original Corrected AbatelRefund Assessor's Recommendation (For Assessor's Use Only) Tax Year dotic 6.916.4 Assessed ma tii510 4O �y3'lri`lo fl-,3%;J'J 9e in ❑ Assessor recommends approval as outlined above. If the -equest for abatement is based upon the grounds of overvaluation, no abatement or refund of taxes shall be made if an objection or protest to such valuation has been filed and a Notice of Determination has been mailed to the taxpayer, § 39-10-114(1 Xa)(IXD), C.R.S. Protest? E] No ❑ Yes (If a protest was filed, please attach a copy of the NOD.) Assessor recommends denial for the following reason(s): rs cO(TeC:t l��J Y�-1u�eit aril. tenaief ad in 4111 n j(\ Assessor's or se • uty Assessor's Signature 15-DPT-AR No. 920-66/17 19341650001 CO • FOR ASSESSORS AND COUNTY COMMISSIONERS USE ONLY (Section III or Section IV must be completed) Every petition for abatement or refund filed pursuant to § 39 10-114, C R S shall be acted upon pursuant to the provisions of this section by the Board of County Commissioners or the Assessor as appropriate within six months of the date of filing such petition § 39-1-113(1 7), C R S Section III Written Mutual Agreement of Assessor and Petitioner (Only for abatements up to $10,000) The Commissioners of County authonze the Assessor by Resolution No to review petitions for abatement or refund and to settle by written mutual agreement any such petition for abatement or refund In an amount of $10,000 or less per tract, parcel, or lot of land or per schedule of personal property, in accordance with § 39-1-113(1 5), C R S The Assessor and Petitioner mutually agree to the values and tax abatement/refund of Actual Tax Year Assessed Original Corrected Abate/Refund Tax Note The total tax amount does not include accrued interest penalties and fees associated with late and/or delinquent tax payments, If applicable Please contact the County Treasurer for full payment information Petitioner's Signature Date Assessor's or Deputy Assessor's Signature Date Section IV Decision of the County Commissioners (Must be completed if Section III does not apply) WHEREAS, the County Commissioners of - - -- -- County, State of Colorado, at a duly and lawfully -- called regular meeting held on / / , at which meeting there were present the following members Month Day Year with notice of such meeting and an opportunity to be present having been given to the Petitioner and the Assessor of said County and Assessor (being present —not present) and Name Petitioner (being present —not present), and WHEREAS, the said Name County Commissioners have carefully considered the within petition, and are fully advised in relation thereto, NOW BE IT RESOLVED that the Board (agrees —does not agree) with the recommendation of the Assessor, and that the petition be (approved —approved in part —denied) with an abatement/refund as follows Year Assessed Value Taxes Abate/Refund Chairperson of the Board of County Commissioners' Signature I, County Clerk and Ex -Officio Clerk of the Board of County Commissioners in and for the aforementioned county, do hereby certify that the above and foregoing order is truly copied from the record of the proceedings of the Board of County Commissioners IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said County this day of Month Year County Clerk's or Deputy County Clerk's Signature Note Abatements greater then $10,000 per schedule, per year, must be submitted in duplicate to the Property Tax Administrator for review Section V Action of the Property Tax Administrator (For all abatements greater than $10,000) The action of the Board of County Commissioners, relative to this petition, is hereby D Approved ❑ Approved in part $ ❑ Denied for the following reason(s) Secretary's Signature Property Tax Administrator's Signature Date 15-DPT-AR No 920-66/17 JOSEPH C. SANSONE COMPANY asthma ntesvriems. TO: AGENT AUTHORIZATION Colorado Assessor's Office and the Assessment Review Agency 15040 Edison Avenue Chesterfield. MO 63005 1-500-344-0140 The Property Owner(s) listed below hereby authorize and appoint the Joseph C. Sansone Company to act as agent with full authority to handle all matters relating to ad valorem tax matters for our respective listed parcels. This includes, but Is not limited to, the filing of property tax declarations or other documents with you or the Assessment Appeals Board, examining any records in your office which we have a right to examine, appearing before any assessment officer or board and discussing assessments and resolving disputes with you concerning the assessments on parcels for which we are responsible for the property taxes. This authority shall terminate when all matters relating to the 2016 through 20 20 assessments are resolved. BFI MEDICAL WASTE INC R7536099 Exact Name of Property Owner Parcel Number Schedule/PIN/Account or meow Exact Name of Property Owner Parcel Number Schedule/PIN/Account orapplicable) Exact Name of Property Owner Parcel Number Schedule/PIN/Account crepoitibio Exact Name? f > forty Oyrrtier Parcel Number Schedule/PIN/Account (hepatic l "IX Nttl. G►iskeie} AUTHORIZED SIGNATURE s kid DATE PRINT NAME OF AUTHORIZED SIGNER Ev0, efo, Co Pratt, sweiel TITLE State of Celaeedo T t J_Jto 3C S Co unty of LA Kg On this J day of etk.Pt Lf 204_ before mc, the undersigned, personally appeared 1b&Ltts.l f sJMrfT r known to me (or satisfactorily proven) to be the person whose name is subscribed to within this inetrurnent and acknowledged that he executed the same for the purposes therein contained. In witness hereof 1 hereunto set my hand end offloiel seal. Notary Public REVISED 06/15 "TIMOTHY KOUSA Official Sul Notary Public - Slate of Illinois 4 My Comrniesron Expires Nov 28.2020 _�`v�r�TCK'gya�STJ� CSC REAL PROPERTY SUMMARY ANALYSIS OF Stericycle Inc 5355 Colorado Boulevard Dacono, CO 80514 Parcel ID(s) Appeal Number 146701401001 Prepared By: AMA -II C. SANSONE CO. Business Tux Solutions. JOSEPH C. SANSONE COMPANY 18040 Edison Avenue Chesterfield, Missouri 63005 <This is not an appraisal> This information is provided by the Joseph C. Sansone Company as an authorized advocate and representative of the property owner or taxpayer. Therefore, the information is not and should not be considered an objective analysis of the value of the subject property interest. The information is not intended to constitute an "appraisal" or "appraisal report" pursuant to the Uniform Standards of Professional Appraisal Practive ("USPAP") or Missouri law. No one from the Joseph C. Sansone Company is acting as a licensed or certified real estate appraiser in this matter. Whether any person involved in the preparation or presentation of the information is a licensed or certified appraiser is of no importance and the information and presentation are not intended to comply with the USPAP requirements of appraisal practice. 19341650001CO 5355 Colorado Boulevard JOSEPH C. SANSONE Co. Business Tax Snlanons• POINTS OF DISCUSSION Property Issues Other 1981/82/91/95 manufacturing and storage warehouse complex; owner -operated by Stericycle Inc. 19341650001CO 2016 Broker's Opinion - This is not an appraisal JOSEPH C. SANSONE CC). Bxsixess Tax Solutions. 5355 Colorado Boulevard PTR Number: 19341650001CO Location IDs: 146701401001 Area Type WAREHOUSE WAREHOUSE WAREHOUSE WAREHOUSE Location Totals Gross Building Area 1,830 2,400 3,984 16,955 25,169 Net Leaseable Area 1,830 2,400 3,984 16,955 25,169 Potential Gross Income 5.00 9,150 5.00 12,000 5.00 19,920 5.00 84,775 5.00 125,845 Vacancy and Credit Loss 5.0% 458 5.0% 600 5.0% 996 5.0% 4.239 5.0% 6.292 Effective Gross Income 8,693 11,400 18,924 80,536 119,553 Overall Expense 110.0% 869110.0% 1.140110.0% 1,892110.0% 8,0541 110.0% 11.955 Net Operating Income 7,823 10,260 17,032 72,483 107,597 Base Cap Rate 8.000 Adj Tax Rate 0.174 Adj Cap Rate 8.174 Value Sum 1,316,419 Indicated Value 1,316,000 Total Indicated Value per SF(NLA) 52.30 19341650001CO Broker's Opinion - This is not an apprasial - See Full Disclaimer 5501 Dacono, Sale on 4,000 Colorado CO 9/27/2013 SF Class 80514 C Industrial for Blvd $225.000 SOLD ($56.25/SF) - Public Record Building Built in 2003 iINOdd 1�. I.1 County Road 14 8th St County Road 14 1,t- 6th St 6th ,., St y 5 *AY1 i° u c p r t�L 1 ,1 3 j �1 I y +v 0 i Q St4� °i 4t t� St .f n St 4, j t Short D' h LV!f i_. a U Andrew C 3rd 9 St r yrl _ _`�'�- a Dr c . .,-,ip _, . •. , __.- , •'4 c ' Ti 2nd cc 4, ' '�' _ -• _ ILA -�� irl Elizabeth St 5 0 0 -7O id:: tvlirosoft' n 1 Virtual Earth' -, _, ► . ,.. ;,� tur . ,:. ,.1 •.� . �. ...� J ....tom .. 'J1 J..:J . :\ Buyer & Seller Contact Info Recorded Buyer: David 5501 Dacono, Belek Colorado CO Blvd 80514 Recorded Seller: Ciaravola Andre Transaction Details ID: 2860567 Sale Escrow Sale Date: Length: Price: 09/27/2013 - $225,000 Sale Bldg Year Built/Age: Type: Type: Industrial - Built in 2003 Age: 10 - Asking Price: - RBA: 4,000 SF Price/SF: Price/AC Land Percent Gross: Leased: $56.25 $64,064.24 100.0% 6eSH rtzLand Improved Total Land Percent Value Value Value Improved: Assessed: Assessed Assessed: Area: 3.51 - $26,450 - $26,4500 AC (152,987 in 2012 SF) ! IC) ` 7 vl 4' 1 Document Financing: Parcel No: No: $150,000.00 146701000021 3967767 from Private Individual Land Fas Fiancial Inc Assessed/AC: $7,531 V i 941\ n, / Ikz 1 , Income Expense Data Expenses - Taxes $4,552 - Operating Expenses Total Expenses $4,552 6 of:u_s-exO(2o new (nde. ' Copyrighted report licensed to Joseph C. Sansone Company - 200793. 4/20/2015 14469 Longmont, Sale 12,000 on 10/1/2013 SF Mead CO Class Ct 80504 for C Warehouse $675.000 ($56.25/SF) Building Built - Research Complete in 2000 SOLD ih% Ill -'� - " t �_,. Mulligan Dr 243 °x c. G r� 500 .irJ_ Microsoft' .o - ; Virtual Earth' ri1iLJ J �.r:.bi!'_s.r;,:.r�:4,,4.4 ,,T :!..JJJ_4 :d._ .J - III NVatte_v Dr. -, - - Buyer & Seller Contact Info Recorded Buyer: CWF Properties, LLC Recorded Seller: Wynja Vista LLLP True Buyer: Charles W Folden True Seller: David & Sandra Wynja Charles Folden David Wnyja 3772 Puritan Way Sandra Wynja Frederick, CO 80516 2211 Lake Park Dr (303) 833-5160 Longmont, CO 80503 (303) 772-2123 Buyer Type: Individual Buyer Broker: Summit Real Estate & Marketing LLC Listing Broker: Summit Real Estate & Marketing LLC Carol Davis Carol Davis (303) 995-4101 (303) 995-4101 Transaction Details ID: 2860564 Sale Date: 10/01/2013 Sale Type: Owner/User Escrow Length: 42 days Bldg Type: Warehouse Sale Price: $675,000 -Confirmed Year Built/Age: Built in 2000 Age: 13 Asking Price: - RBA: 12,000 SF Price/SF: $56.25 Land Area: 1.19 AC (51,836 SF) Price/AC Land Gross: $567,226.89 Percent Leased: 100.0% Tenancy: Multi Percent Improved: 74.1% Total Value Assessed: $174,000 in 2012 Improved Value Assessed $128,950 Land Value Assessed: $45,050 Land Assessed/AC: $37,857 No. of Tenants: 1 Tenants at time of sale: First Choice Heating And Air Conditioning Inc Financing: Down payment of $67,500.00 (10.0%) $337,500.00 from Jp Morgan Chase Bk $270,000.00 from JPMorgan Chase Bank Copyrighted report licensed to Joseph C. Sansone Company - 200793. 4/20/2015 9050 Windsor. Sale 11,994 on Hwy 5/13/2013 SF CO Class 392 80550 for $625,000 ($52.11/SF) F Showroom Building - Research Complete Built in 1984 SOLD .- J rr T r1 1 i -. _ __ .-. -., _.. - . - M 257 392 County Road 68 ,. Lake View 0 Cemetery St E at �_ 500 irn -- , Is 9MitroSoft' 1 =Virtual Earth' :.)::i.� J1C1 Liii CLJ,:.resl.1.. •., l •: ✓.l1!1. f.)._1J Buyer & Seller Contact Info Recorded Buyer: St Noco Acquisitions LIc Recorded Seller: Cc Land LIc True Buyer: Schuman Companies, Inc. True Seller: Roger Weibel Ian Mattoch Roger Weibel 605 S College Ave 14388 N 95th St Fort Collins, CO 80524 Longmont, CO 80504 (970) 219-1493 (303) 772-6762 Buyer Type: Developer/Owner-RGNL Transaction Details ID: 2761760 Sale Date: 05/13/2013 Sale Type: Investment Escrow Length: - Bldg Type: Showroom Sale Price: $625,000 -Full Value Year Built/Age: Built in 1984 Age: 29 Asking Price: - RBA: 11,994 SF Price/SF: $52.11 Land Area: 5.91 AC (257,440 SF) Price/AC Land Gross: $105,752.96 Percent Leased: 0.0% Tenancy: Single Percent Improved: 56.8% Total Value Assessed: $314,990 in 2012 Improved Value Assessed $178,780 Land Land Value Assessed: Assessed/AC: $136,210 $23,047 I Parcel Document No: No: 080722200077, 3935518 080722200078. 080722200079 '17 tA, (A.011/40.fi Kvt,i) 9 Sale History: Sold for $625,000 ($52.11/SF) on 5/24/2013 . Sold for $625,000 ($52.11/SF) on 5/13/2013 ek A blANt tfaftr • ... _ ___ _ _ OP .1 7,1 • 11: ! Transaction Notes . , t On May 13, 2013, this 11,994 square foot industrial property sold for $625,000. The buyer subsequently sold the property 11 days later. See related Comp ID 2761757. Copyrighted report licensed to Joseph C. Sansone Company - 200793. 4/20/2015 711 Evans, Sale 5,100 39th CO on 3/4/2014 SF Class St 80620 for $270.000 C Service Building ($52.94/SF) Built in 1980 - Research SOLD Complete 36th St o li I 1' Li co 72 a c c h-. ; -_ _. 37th St �.... -,y . .A „ ♦ , , .. tit .� �n ti C _„ •g. ., V ) _ ` ' ark 38th St ,, . ,+ •' VI .. co in Cr 114 a MI 4 ' es - �':OP t 3 7- 9th tA Z 1 — a i/ O at 3 / vi V 4r -...i �+ 40th St a.. -- c i to v 41st St 500 Microsoft' ids 1 Virtual Ea iM 1{1�LI JiZaC r nun 1,, Jim :Jiu pis �i:r • '• r J •.1 I • 4..an� t., JIJL Buyer & Seller Contact Info it Recorded True Buyer Buyer Buyer: Buyer: Type: Broker: Dan Dan Dan 21042 La (970) Individual DTZ Jared (970) Baker Baker Baker Salle, Peckham 284-7807 Goodman 267-7723 CO Dr 80645 Recorded True Seller Listing Seller: Seller: Type: Broker: Clark Clark Clark 20509 Fort (303) Corporate/User DTZ Jared (970) Lupton, Sloan Sloan Sloan 536-0777 Goodman 267-7723 County Road CO 80621 20 Transaction Details ID: 2980145 Price/AC Percent Tenants Escrow Asking No. at Document Land of time Sale Sale Price/SF: Tenancy: Tenants: Financing: Parcel Length: Gross: Leased: of Date: Price: Price: sale: No: No: 03/04/2014 - $270,000 $280,000 $52.94 $1,000,000.00 100.0% 1 Dan's Down 096129214012 4000426 Single (224 -Confirmed Garage payment days of $270,000.00 on market) (100.0%) Improved Land Total Land Year Percent Value Value Value Assessed/AC: Sale Bldg Land Improved: Assessed: Built/Age: Assessed: Assessed Type: Type: RBA: Area: Owner/User Service Built 5,100 0.27 84.4% $44,370 $37,470 $6,900 $25,555 in 1980 SF AC in (11,761 2012 Age: 34 SF) Copyrighted report licensed to Joseph C. Sansone Company - 200793. 4/20/2015 JOSEPH C. SANSONE COMPANY Business Tax Solutions® Sent via Certified Mail December 21, 2018 Mr. Christopher Woodruff Weld County Assessor's Office PO Box 758 Greeley, CO 80632 RE: Petition for Abatement 2016 Dear Mr. Woodruff: RECEIVED DEC 2 6 2018 WELD COUNTY ASSESSOR GREELEY, COLORADO Please find enclosed the signed "Petition for Abatement or Refund of Taxes" forms for the Schedule / Parcel Numbers that we have been authorized to act as the Agent for the property owner(s). We wish to file an appeal on the property owner's behalf. Each Petition includes the Abatement Petition form, the Agent Authorization letter, and the Petition's supporting documentation. In addition, the enclosure includes a master list of those properties being appealed. I appreciate your consideration of the above request(s). Thank you in advance for your assistance. Sincerely, David Johnson Joseph C Sansone Company 18040 Edison Avenue Chesterfield, MO 63005 appeals@jcsco.com 636-733-5455 Direct Enclosures Jose h9 (e Sansone Corn <,. BOE-STC Appealf 20 16/ 2C tae: 18342120006CO OReilly Auto Enterprises LLC 6 100 South Harrison Avenue Fort Lupton, CO 80621-1510 Lead Analyst: Informal Hearing Date: Parcel ID 147105305001 Filed Local Appeal State Appeal 19341030001C0 Rocky Mountain Propellers 2865 Airport Drive Erie, CO 80516 Lead Analyst: Informal Hearing Date: Parcel ID 146731005022 Filed Local Appeal State Appeal 19341650001C0 Stericycle Inc 5355 Colorado Boulevard Dacono, CO 80514 Lead Analyst: Informal Hearing Date: Parcel ID 146701401001 Filed Local Appeal State Appeal 19341720002CO Kinsco 2 1530 Skyway Drive Longmont, CO 80504 Lead Analyst: Informal Hearing Date: Parcel ID 131308103011 Filed Local Appeal State Appeal 19344650001CO Robson Contracting 8475 West Interstate 25 Frontage Road Frederick, CO 80504-9494 Lead Analyst: Informal Hearing Date: Parcel ID 131322411003 Filed Local Appeal State Appeal 12/21/2018 07:27 Report Parameters: TaxYear: 2016; State: CO; JurisType: ALL; JurisName: Weld; ProdLine: Real Estate; Analyst: ALL; Level: Informal; ApStatus: Filed; ActualAp: 12/21/2018 6:00:00 AM Page 1 of 1 4/11/2019 Attn: Brenda Dones RE: 2016 Abatement received 12/26/2018 R7536099 BFI MEDICAL WASTE INC C/O STERICYCLE INC 5355 COLORADO BLVD DACONO, CO 2016 Assessors Value $1,510,140 OR ($60/SF) SUBJECT: The subject property is located at 5355 Colorado Blvd in Dacono just south of Highway 52. The subject has four buildings that total 25,169 sq ft built from 1982 to 1995 and has 10.21 acres of land. Cost Approach: Based on the age of the subject the Cost Approach was considered but not developed. Market Approach: A search of sales of similar properties during the extended data collection period of 7/1/2009-6/30/2014 revealed these three sales. 14000 Mead St, Mead sold 6/25/2012 for $1,337,500 or $60.42/sf. Built in 1986, it is a 22,138 sq ft warehouse of average quality. 1845 Skyway Dr, Longmont sold 6/12/2014 for $2,100,000 or $78.72/sf. Built in 2000, it is a 26,676 sq ft distribution warehouse of average quality. 12672 CR 6.25, Ft. Lupton sold 2/28/2011 for $1,300,000 or $63.50/sf. Four buildings ranging in year built from 1976 to 2001, totaling 20,472 sq ft of warehouse/office. Income Approach: Three comparable leases were found to develop an income analysis. 17,280 sq ft building $6.80/sf/NNN, Frederick 10,000 sq ft building $7.00/sf/NNN, Longmont 10,000 sq ft building $6.50/sf/NNN, Ft. Lupton Rate Size Annual Rent $6.50/sf 25,169 $163,599 Potential Gross Income $163,599 Vacancy Effective Gross Income $155,419 5% $ 8,180 Expenses Net Operating Income Cap Rate Indicated Value 8% 9% $ 12,434 $142,985 $1,588,722 Per Sq Ft $63.12 Reconciliation and Summary: In reconciling the Market and Income Approaches to value, the Assessor recommends the value for 2016 be sustained at $1,510,140 or ($60/SF). 5/2/2019 Property Report Weld County PROPERTY PORTAL Property Information (970) 400-3650 Technical Support (970) 400-4357 Account: R7536099 May 2, 2019 Account Parcel Space Account Tax Buildings Actual Assessed Type Year Value Value R7536099 146701401001 Industrial 2019 5 Legal DAC RXT L 1 RX THERMAL SUB (.31 AC R) Subdivision RXTHERMAL SUB Property Address 5355 COLORADO BLVD 1,876,565 544,200 Block Lot Land Economic Area 1 DACONO RX THERMAL Property Zip Section Township Range City DACONO 01 01 68 Account Owner Name Address R7536099 BFI MEDICAL C/O STERICYCLE INC 28161 N KEITH DR WASTE INC LAKE FOREST. IL 600454528 Reception Rec Date Type Grantor Grantee Doc Fee Sale Date Sale Price BFI WATE 2205585 02-16-1990 WDN SYSTEMS 0.00 02-15-1998 0 OF NORTH AMERICA 2624448 SUB SUBDIVISION RXTHERMAL 0.00 0 BFI WASTE BFI 2725873 10-11-1999 QCN SYSTEMS OF MEDICAL 0.00 09-30-1999 0 NORTH WASTE INC AMERICA https://propertyreport.co.weld.co.us/?account=R7536099 1/8 5/2/2019 Property Report AccountNo R7536099 ID Type Building 1 Building ID Occupancy 1 Warehouse NBHD Occupancy Complete Bedrooms Baths Rooms 1 Commercial 3905 Warehouse 100 ID Exterior Roof Interior Cover 1 0 0 0 HVAC Perimeter Units Unit Type Radiant 605 0 Make Total Finished ID Square Condo Basement Basement Garage Carport Balcony Porch Ft SF SF SF SF SF SF SF 1 16.955 0 0 0 0 0 0 0 Built As Details for Building 1 ID Built As Square Year Stories Length Width Ft Built 1 00 Indust Lght 10,800 1991 1 0 0 Manufacturing 1.00 Office Building 4,483 1991 1 0 0 1.00 Light Commercial 1,672 1991 1 0 0 Utility https://propertyreport co.weld.co.us/?account=R7536099 2/8 5/2/2019 Property Report Additional Details for Building 1 ID Detail Type Description 1 Add On Asphalt 1 Add On Corn Dock Hi Floors 1 Add On Concrete Slab Average 1 Add On Concrete Slab Average 1 Mezzanine Display AccountNo R7536099 Building 2 Building ID Occupancy 2 Quonset Units 31,250 3,276 1,642 33,600 1,018 ID Type NBHD Occupancy Complete Bedrooms Baths Rooms 2 Out Building ID Exterior Roof Cover 2 ID Square Condo Ft SF Quonset 100 0 0 0 Interior HVAC Perimeter Units Unit Type None 0 0 Total Finished Basement Basement SF SF Make Garage Carport Balcony Porch SF SF SF SF 2 2,400 0 0 0 0 0 0 0 Built As Details for Building 2 ID Built As Square Ft Year Built Stories Length Width 2.00 Quonset 2,400 1982 0 40 60 https://propertyreport.co.weld.co.us/?account=R7536099 3/8 5/2/2019 Property Report Additional Details for Building 2 ID Detail Type Description 2 Add On Concrete Slab 2 Add On Concrete Slab Average AccountNo R7536099 ID Type Building 3 Building ID Occupancy 3 Warehouse Units 10,400 2,400 NBHD Occupancy Complete Bedrooms Baths Rooms 3 Commercial 3905 Warehouse 100 0 0 0 t ID Exterior Roof Cover Interior HVAC Perimeter Units n' Type 3 None 279 0 Square Condo Total Finished ID Ft SF Basement Basement SF SF Make Garage Carport Balcony Porch SF SF SF SF 3 3,984 0 0 0 0 0 0 0 Built As Details for Building 3 ID Built As Square Year Ft Built 3.00 Storage Warehouse 3,984 1981 Stories Length Width 0 0 Additional Details for Building 3 ID Detail Type Description Units 3 Add On Loading Docks Filled Conc Walls & Floor 4,000 3 Add On Shed Steel 336 https://propertyreport.co.weld.co.us/?account=R7536099 4/8 5/2/2019 Property Report AccountNo R7536099 ID Type Building 4 Building ID Occupancy 4 Warehouse NBHD Occupancy Complete Bedrooms Baths Rooms 4 Commercial 3905 Warehouse 100 ID Exterior 4 0 0 0 Roof t Cover Interior HVAC Perimeter Units nf Type ID Square Condo Ft SF None 182 0 Total Finished Basement Basement SF SF Make Garage Carport Balcony Porch SF SF SF SF 4 1,830 0 0 0 0 0 0 0 Built As Details for Building 4 Square Year ID Built As Ft Built Stories Length Width 1,830 1995 1 0 0 4.00 Light Industrial Shell Buildings Additional Details for Building 4 ID Detail Type 4 Add On AccountNo R7536099 Description Units Concrete Slab 800 Building 5 Building ID Occupancy 5 Comm Shed - Equipment https://propertyreport.co.weld.co.us/?account=R7536099 5/8 5/2/2019 Property Report ID Type NBHD Occupancy Complete Bedrooms Baths Rooms Comm 5 Commercial 3905 Shed - 100 0 Equipment ID Exterior Roof Cover Interior HVAC Perimeter Units Unit Make 5 None 102 0 Square Condo Total Finished ID Ft SF Basement Basement SF SF 5 1,156 0 0 0 Garage Carport Balcony Porch SF SF SF SF 0 0 0 0 Built As Details for Building 5 Square Year ID Built As Ft Built Stories Length Width 1.156 2017 1 34 34 5.00 Comm Shed - Equipment No Additional Details for Building 5 Type Code Description Actual Value Assessed Value Acres Land SqFt Improvement 2235 WAREHOUSE/STORAGE-IMPS 25.768 7,470 0.000 0 MANUFACTURED PROCESSING - Improvement 3215 1,139,061 330.330 0.000 0 IMPS Land 3115 MANUFACTURED/PROCESSING- 711,736 206.400 10.210 444,835 LAND Totals 1,876,565 544,200 10.210 444,835 Comparable sales for your Residential property may be found using our SALES SEARCH TOOL https://propertyreport.co.weld.co.us/?account=R7536099 6/8 5/2/2019 Property Report Tax Area t District ID District Name Current Levy Mill 5565 0900 CARBON VALLEY REC 4.619 5565 I 0402 DACONO TOWN 25.332 H 5565 4 0965 DACONO AUTHORITY URBAN RENEWAL 0.000 5565 0512 MOUNTAIN DISTRICT VIEW FIRE RESCUE 16.247 - 5565 4 0301 NORTHERN (NCW) COLORADO WATER 1.000 5565 I --- 0213 SCHOOL DIST RE1J-LONGMONT 1 56.385 5565 0620 ST VRAIN SANITATION 0.519 5565 -- 0100 WELD COUNTY 15.038 Total - - 119.14 a Building 1 Building 3 Oa - .r Building 4 https://propertyreport.co.weld.co.us/?account=R7536099 7/8 5/2/2019 Property Report Building 1 Page 1 Building 5 Page 1 First Floor 2400.0 sf Building 2 Page 1 J Building 3 Page 1 Building 4 Page 1 Copyright © 2019 Weld County, Colorado. All rights reserved. Privacy Policy & Disclaimer Accessibility Information https://propertyreport.co.weld.co.us/?account=R7536099 8/8 P,191P, WELD COUNTY Tax Abatement petition . . _ R7536099 iiis„. (-)NLINE MAPPINC- • 1014 g ta-' * • 0 t , .. ..* -1/4 , 'JO ei 1 . a3 lte W.; LP i C.2 a If i I : ) j R,F • • Legend \Apt !I _ _ ..... Highway t • + • .r 1. Highway ic, .. 119 '� Ifr -ire Boundary Ws 01 k la 19 2......4....14 1.... vit 4 TM s I ;• „. 3 , . ~ ki. r=� b. ye• i "Iliflasi--7 . . Ce 1 .- w. Prg s . , ..,-J6.' g 1 ribs -flit n�rlre j 26 816 . el 4,469 4 2 2.34.68 4,469.4 Feet This s a atic outputte tOf reference . ..... ..... . . . ..accurate, ...Colorado .. ..: .... NAVIGATION EMI COUNTY siii.r.WE Aoatement _Tax Petition R7536099 rte-: -- -- _ uv L. _ • rdt R • A.illi'M. /✓. 46 Tq..• _V ''..F•. �. t,. r. -- :jar : . r. .*.• {r •, • •-',L,' `.1 .•.�-. t. , 7 G , - . i•^(�_. _ ,, . 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Data layers that appear THIS MAP IS on this NOT map TO may or may current, or BE USED riot otherwise FOR be accurate, reliable NAVIGATION CLERK TO THE BOARD May 3, 2019 PHONE: (970) 400-4225 FAX: (970) 336-7233 1150 O STREET P.O. BOX 758 GREELEY, COLORADO 80632 www.weldgov.com BFI MEDICAL WASTE, INC. C/O STERICYCLE, INC. 28161 NORTH KEITH DRIVE LAKE FOREST, IL 60045-4528 RE: SCHEDULE NUMBER R7536099 Dear Property Owner: This is to advise you that the Weld County Board of Commissioners will hear your petition for abatement or refund of taxes on the property described as: 5355 Colorado Boulevard, Dacono, Colorado 80514. The meeting is scheduled for Wednesday, May 29, 2019, at 9:00 a.m., in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Administration Building, 1150 0 Street, Assembly Room, Greeley, Colorado 80631. The Assessor is recommending that the Board deny your petition. You are not required to be present at this hearing; however, this is your opportunity to have your position heard, particularly if your position is opposed to the Assessor's recommendation. If you intend to submit any documentation in support of your position for this hearing, all such documentation must be submitted to the Office of the Clerk to the Board and to the Weld County Assessor's Office at least seven calendar days prior to the meeting date in order for it to be considered at the scheduled hearing. If you have any questions concerning this matter, please do not hesitate to contact me at (970) 400-4213. Sincerely, Ofito,c, a - Chloe A. Rempel Deputy Clerk to the Board crempel@weldgov.com cc: Weld County Assessor Joseph C. Sansone Company Bethany Ford From: Sent: To: Subject: Attachments: Good afternoon, Bethany Ford Thursday, May 02, 2019 5:03 PM appeals@jcsco.com Notice of Hearing - Tax Abatement Petition - R7536099 Tax Abatement Petition - R7536099.pdf This is to advise you that the Weld County Board of Commissioners will hear your petition for abatement or refund of taxes on the property described as: 5355 Colorado Boulevard, Dacono, Colorado 80514. The meeting is scheduled for Wednesday, May 29, 2019, at 9:00 a.m. Please see the attached letter for further information (hard -copy to follow) Sincere regards, Bethany Ford Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel: 970-400-4225 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 1 WELD COUNTY PETITION FOR ABATEMENT OR REFUND OF TAXES CERTIFICATE OF MAILING FIRST NAME COMPANY POSTAL ADDRESS 1 CITY STATE LAST NAME CODE • BFI MEDICAL FOREST IL 60045- 28161 KEITH NORTH DRIVE LAKE 4528 STERICYCLE, INC. WASTE, INC., C/O DAVID 18040 EDISON CHESTERFIELD MO 63005 JOHNSON JOSEPH SANSONE COMPANY C. AVENUE appeals@jcsco.com I hereby certify that I have sent a notification of hearing date letter in accordance with the notification requirements of Weld County in the United States Mail, postage prepaid First Class Mail by letter as addressed on the attached list this 3rd day of May, 2019. �arY Ford Deputy Clerk to the Board a O O a Ul N O a II N U.S. Postal Service"' CERTIFIED MAIL° RECEIPT Domestic Mail Only For delivery information, visit our website at www.usps.com FFIC USE Certified Mail Fee $ Extra Services & Fees (check box, add fee as appropriate) ❑ Return Receipt (hardcopy) $ ❑ Return Receipt (electronic) • Certified Mail Restricted Delivery Adult Signature Required $ • Adult Signature Restricted Delivery $ $ Postage Total Postage and Fees Postmark Here 5131 tq S To snt' V1 'c.cas 1/4•- ►k•,1OCtC.4o_SW\cs c*()_. -------- Street and Apt. No., or PO Box No. _ l�Co 1 i5 \ City, state, ZIP+4 Nee PS Form 3800, April 2015 PSN 7530-02-000-9047 - �t52 • r See Reverse for Instructions U] U] c0 m P- a a CI O Cl N O 1 NM U.S. Postal Service CERTIFIED MAIL° RECEIPT Domestic Mail Only For delivery information, visit our website at www.usps.com 1C1 SSE Certified Mail Fee Extra Services & Fees (check box, add fee as appropriate) ❑ Return Receipt (hardcopy) ❑ Return Receipt (electronic) • Certified Mail Restricted Delivery O Adult Signature Required $ �] Adult Signature Restricted Delivery $ $ $ $ Postage Total Postage and Fees Postmark Here 5/3/\c't Sent To Sire t and Ap City State ZIP -i-4 •��' . ."is r• . O PS Form 3800, April 2015 PSN 7530-02-000-9047 See Reverse for Instructions :75i 150-135x No. kson___Pmeenge Msa s• SENDER: COMPLETE THIS SECTION ■ Complete items -144 2, and 3. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: fin: O 0,\);c1 jolinf1SCIt1 Lb5€4* C. SoAn SOCG C rnec`nt i8041p €a % some A\Cpve° c e,s&er-•,ergcA, MO Co 3005 i III i m 11111111 i i 9590 9402 1714 6053 4724 44 i COMPLETE THIS SECTION ON DELIVERY ►/� B. Received by (Printed Name) Agent O Addressee C. Date of Delivery D. Is delivery address different from item 1? O Yes If YES, enter delivery address below: O No 2. Article Number (Transfer from service label) 7016 0750 0000 7938 4955 PS Form 3811, July 2015 PSN 7530-02-000-9053 3. Service Type O Adult Signature ❑ Adult Signature Restricted Delivery Certified Mail® ❑ Certified Mail Restricted Delivery ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery El Insured Mail Restricted Delivery 0 0 ❑ Priority Mail Express® Registered MailiM Registered Mail Restricted Delivery Return Receipt for Merchandise Signature ConfirmationTM Signature Confirmation Restricted Delivery Domestic Return Receipt SENDER: COMPLETE THIS SECTION ■ Complete items 1, 2, and 3. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: ref1 V\ecScA\ wo-S\e,CIO 5A-cx cue t vac. 2 \ tJoc'� �C)ON5-528 m II 11111111 i 9590 9402 1714 6053 4724 51 i COMPLETE THIS SECTION ON DELIVERY A. Signature X ❑ Agent ❑ Addressee B. Received by (Printed Name) C. Date of Delivery D. Is delivery address different from item 1? O Yes If YES, enter delivery address below: O No 3. Service Type ❑ Adult Signature ❑ Adult Signature Restricted Delivery lid Certified Mail® ❑ Certified Mail Restricted Delivery ❑ Collect on Delivery 0 Collect on Delivery Restricted Delivery 2. Article Number (Transfer from service label) ❑ Insured Mail 'Mail Restricted Delivery 0) 7016 0750 0000 ?938 4948 PS Form 3811, July 2015 PSN 7530-02-000-9053 ❑ Priority Mail Express® ❑ Registered MaiITM ❑ Registered Mail Restricted Delivery D Return Receipt for Merchandise ❑ Signature Confirmations" ❑ Signature Confirmation Restricted Delivery Domestic Return Receipt Chloe Rempel From: Sent: To: Cc: Subject: Good morning, Chloe Rempel Friday, May 17, 2019 10:40 AM David Johnson Bethany Ford RE: Request to receive an administrative Denial for the abatement hearings set for 5/29/2019 and 6/10/2019 I apologize for the delayed response — I will make note of your request for administrative denial for the Weld County Assessor and the Board of County Commissioners. A hearing must still be held; however, if you do not have information that you would like the Commissioners to consider and you do not wish to attend the hearing, the Assessor can request the Board deny your petition and a letter will be sent after the hearing notifying you of your options to appeal. If you have any further questions or concerns, please do not hesitate to contact me. Sincere regards, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel: 970-400-4213 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: David Johnson <djohnson@jcsco.com> Sent: Tuesday, May 14, 2019 9:12 AM To: Chloe Rempel <crempel@weldgov.com> Subject: Request to receive an administrative Denial for the abatement hearings set for 5/29/2019 and 6/10/2019 Caution: This email originated from outside of Weld County Government. Do not click links or open attachments unless you recognize the sender and know the content is safe. Chloe, We have 2 abatement hearing dates upcoming with the Board of Commissioners 5/29/2019 (R7046298 and R7536099) and 6/10/2019 (R0174589 and R1109496). We would like to request an administrative denial for these for hearings. 1 Please let me know if you need something further from me on this request. Thank you, David Johnson Joseph C Sansone Company 18040 Edison Avenue Chesterfield, MO 63005 1-636-733-5455 Direct 1-800-394-0140 Ext 5455 1-636-733-2223 Fax djohnson(a)jcsco.com May 30, 2019 CLERK TO THE BOARD PHONE: (970) 400-4225 FAX: (970) 336-7233 1150 O STREET P.O. BOX 758 GREELEY, COLORADO 80632 www.weldgov.com BFI MEDICAL WASTE, INC. C/O STERICYCLE, INC. 28161 NORTH KEITH DRIVE LAKE FOREST, IL 60045-4528 RE: SCHEDULE NUMBER R7536099 Dear Property Owner: On May 29, 2019, the Board of Weld County Commissioners considered your petition for abatement or refund of taxes and denied same. Pursuant to C.R.S. §39-2-125(f), you have the right to appeal this decision to the State Board of Assessment Appeals within thirty days. You may obtain the appropriate forms and instructions from: Board of Assessment Appeals — Department of Local Affairs 1313 Sherman Street, Room 315 Denver, CO 80203 Phone: (303) 864-7710 Email: dola_baa@state.co.us. In preparation for appealing to the State Board of Assessment Appeals you may also go to the following state link to obtain any further information you may need to proceed, http://www.dola. state. co. us/baa/i ndex. htm Very truly yours, c. Chloe A. Rempel Deputy Clerk to the Board crempel@weldgov.com Enclosures: Resolution 2019-1999, Copy of Petition for Abatement of Refund of Taxes cc: Weld County Assessor Joseph C. Sansone Company Chloe Rempel From: Sent: To: Subject: Attachments: Good afternoon, Chloe Rempel Thursday, May 30, 2019 12:54 PM appeals@jcsco.com Notice of Decision at Commissioner's Hearing Re: Tax Abatement Petition for R7536099 Tax Abatement Petition - Decision Letter - R7536099.pdf On May 29, 2019, the Board of Weld County Commissioners considered your client's petition for abatement or refund of taxes and denied same. Please see the attached letter for further information, including your right to appeal (hard -copy to follow). Sincere regards, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel: 970-400-4213 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 1 WELD COUNTY PETITION FOR ABATEMENT OR REFUND OF TAXES CERTIFICATE OF MAILING COMPANY POSTAL ADDRESS 1 CITY STATE FIRST NAME LAST NAME CODE BFI WASTE, STERICYCLE, MEDICAL INC., C/O 28161 NORTH LAKE IL 60045 - KEITH DRIVE FOREST 4528 INC. DAVID JOSEPH SANSONE COMPANY C. _appeals@csco.com MO 63005 18040 EDISON CHESTERFIE JOHNSON AVENUE LD I hereby certify that I have sent a Tax Abatement Petition decision letter in accordance with the notification requirements of Weld County in the United States Mail, postage prepaid First Class Mail by letter as addressed on the attached list this 30th day of May, 2019. a L m rR C Fr' Er IN - 0 O Q a N The-Ortt Chloe A. Rempel Deputy Clerk to the Board U.S. Postal Service"' CERTIFIED MAIL° RECEIPT Domestic Mail Only For delivery information, visit our website at www.usps.com®. OFFJCl Certified Mail Fee Extra Services & Fees (check box, add fee as appropriate; ❑ Return Receipt (hardcopy) ❑ Return Receipt (electronic) 0 Certified Mail Restricted Delivery D Adult Signature Required $ ❑ Adult Signature Restricted Delivery $ Postage Total Postage and Fees $ Sent To Z Med i Cal Wa 3-}t , Tin G . , cello _Steer( c ci& 1e t = n G. Street and Apt o., or PO Box No. City, State, ZIP+4' Postmark Here PS Form 3800, April 2015 PSN 7530-02-000-9047 See Reverse for Instructions rrl LU MID FL U.S. Postal Service' CERTIFIED MAIL° RECEIPT Domestic Mail Only For delivery information, visit our website at www.usps.com' Certified Mail Fee Extra Services & Fees (check box, add fee as appropriate) O Return Receipt (hardcopy) $ O Return Receipt (electronic) ❑ Certified Mail Restricted Delivery ❑ Adult Signature Required ❑ Adult Signature Restricted Delivery $ Postage Total Postage and Fees Postmark Here Sent To CA. Fri v f (3 JoInn n zYo1e-"i C * SOWN5360 Co Street and Apt No., or PO Box No. City, State, ZIP+44 �a.dt1 * t te- PS Form 3800, April 2015 PSN 7530-02-000-9047 See Reverse for Instructions SENDER: COMPLETE THIS SECTION • Complete items 1, 2, and 3. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: &crawl. rY1 td i co.. -1 UJ a s 1 e , Inc. G k o S+ericcta. OSCol nor -On Ke-k-in c;ve Lek kacis Co re s -,- ► "IA- (100045 -a m i i i i i 9590 9402 1207 5246 0955 57 i COMPLETE THIS SECTION ON DELIVERY A.iture X ived by (Printed Name) Agent O Addressee Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Adult Signature ❑ Adult Signature Restricted Delivery gd(Certified Mail® ❑ Certified Mail Restricted Delivery ❑ Collect on Delivery 2. Article Number (Transfer from service label) ❑ Collect on Delivery Restricted Delivery 7016 0750 0000 7938 1350 flail Aail Restricted Delivery ❑ Priority Mail Express® ❑ Registered MaiITM O Registered Mail Restricted Delivery ❑ Return Receipt for Merchandise ❑ Signature ConfirmationTM ❑ Signature Confirmation Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt SENDER: COMPLETE THIS SECTION • Complete items 1, 2, and 3. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: OH-tn: Ucwid Tlohnan So s e.pin C • tsk-+n $o rl¢ Ca `rCO (1 O Ecl� Qv¢r u t C.,Intee +ex- ri e. 1 a One C.0300 i i i i i i i 9590 9402 1207 5246 0954 58 I COMPLETE THIS SECTION ON DELIVERY A. X B nature 4 y (Printed Name) ❑ Agent ❑ Addressee Date of Delivery D. Is delivery address different from item 1? El Yes If YES, enter delivery address below: ❑ No 2. Article Number (Transfer from service label) 7016 0750 0000 7938 1367, 3. Service Type ❑ Adult Signature ❑ Adult Signature Restricted Delivery M'Certified Mail® ❑ Certified Mail Restrioted Delivery ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery tail tail Restricted Delivery O Priority Mail Express® ❑ Registered MaiITM O Registered Mail Restricted Delivery ❑ Return Receipt for Merchandise ❑ Signature ConfirmationTM ❑ Signature Confirmation Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt Hello