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Home My WebLink About20152526 BOARD OF ASSESSMENT APPEALS STATE OF COLORADO NOTICE OF HEARING SCHEDULE NO. R7430598 DOCKET NO. 66536 Petitioner(s): Tax Year(s): 2015 GA HC REIT II GREELEY MOB LLC V. Respondent: WELD COUNTY BOARD OF EQUALIZATION The Board of Assessment Appeals will hear the above-captioned matter: Date: February 26, 2016 Time: 8:30 AM Mountain Time on a traili�„da ,k�.tIVED Location: 1313 Sherman Street 1�t(,r t Room 315, 3rd Floor Denver, CO 80203 NOV 0"9 :2015 Time Allocated: 1 hour(s) per side WELD COUNTY PLEASE TAKE NOTICE: COMMISSIONERS The Board of Assessment Appeals uses a one-day modified trailing docket. Several cases are scheduled for hearing at 8:30 am each day. Cases are heard in the order determined by the Board, with the first case commencing at 8:30 am. At the completion of the first case on the docket, the Board hears the second case on the docket. The Board proceeds through the docket in this manner until all cases have been heard or until insufficient time remains to fully hear the remaining cases on the docket. Cases not heard will be continued to another day. You are required to appear for your hearing at 8:30 am on the date noted above and remain until your case is heard or continued, unless the Board removes your case from the trailing docket and schedules your case for a specific time later in the day. A list of cases removed from the trailing docket will be available at least one week prior to the hearing date. If your case is removed from the trailing docket, you are required to appear at the specific time scheduled by the Board. Please check the Hearing Schedule on the Board's web page (www.dola.state.co.us/baa/index.htm) or call (303) 864-7711 within one week prior to your hearing date to determine if your hearing has been scheduled for a specific time on the hearing date. If the Petitioner is a closely held entity as defined in CRS 13-1-127, the Petitioner must be represented by either an attorney licensed in Colorado or an officer of the entity. If the Petitioner is a domestic or foreign entity that is not closely held, as defined in CRS 7-90-102, an attorney licensed in Colorado must represent the entity in all legal proceedings before the Board. Pursuant to Board Rule 11, documentary evidence and witness lists must be received by the Board and the opposing party no later than February 12, 2016. If this date falls on a State Holiday, the documentary evidence and witness lists are due the following working day. Petitioner's Representative of Record: Mailed: November 4, 2015 RYAN, LLC ETHAN HORN 5251 DTC PARKWAY, SUITE 1045 GREENWOOD VILLAGE, CO 80111 1l� Il- CC Ca tt � x015- a5at� . A3009, For Office Use Only PETITION TO STATE BOARD OF ASSESSMENT APPEALS 1313 Sherman Street,Room 315 Phone: (303)864-7710 Docket No. Denver,Colorado 80203 Fax: (303)864-7719 Fee: Y N Date: September 4, 2015 Check/Credit Card S Property Owner: GA HC REIT 11 Greeley MOB LLC RECEIVED Subject Property: 5890 W 13 Street Greeley Street Address City SEP 0 8 2015 Schedule Number(s): R7430598 Attach separate sheet if necessary WELD COUNTY Weld ]Board of Equalization COMMISSIONERS Appeals the decision of the 0 Board of Commissioners Dated: /5/15 County O State Property Tax Administrator This appeal concerns:❑Valuation[]Refund/Abatement 0 Exemption ❑State Assessed Tax Year: 2015 The subject property is currently classified as: ❑Agricultural 0 Commercial 0 Mixed-Use ❑Oil&Gas ❑Non-Exempt(or Partially Non-Exempt) State Assessed Personal Property Other: 0 Vacant Land ❑Residential ❑ ❑ ❑ The subject property should be classified as(if different than the current classification): Actual value assigned to subject property: 12,925,800 Petitioner's estimate of value: 6,070,000 Estimated time for Petitioner to present the appeal: minutes or 4 hours. Not less than 30 minutes. Board will allow equal time to County or Property Tax Administrator_ Appearance: ❑Petitioner will be present at the hearing 0 Petitioner will appear by telephone 0 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) 0 Petitioner would like to appear by video conference Petitioner must contact the Board at 303864-7710 at least 21 days in advance of the scheduled hexing 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,ails. 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 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). [I$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: The property is valued in excess of fair market value based on the three approaches to value; cost, market, and income. In addition, the property is valued in excess of other similarly situated properties. o2O15-a5a� CGt amk..919 �ksoo91 Required attachments to this form: Assessor's or Property Tax Administrator's Notice of Valuation or Notice of Denial Q Decision of County Board of Equalization, County Board of Commissioners or Property Tax Administrator Attachments required under certain circumstances: OA 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,faxed or hand delivered to: ■ Board of Equalization Weld q ❑Board of Commissioners County O State Property Tax Administrator at the following address: 1150 O Street/ PO BOX 758, Greeley CO 80632 on 9/4/15 Date I hereby certify that a true and correct copy of the foregoing Petition to the State Board of Assessment Appeals and attachments were mailed,faxed or hand delivered to all co-owners or parties directly interested in the subject property on 9/4/15 Date 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,Room 315, Denver,CO 80203 on 9/4/15 Date (One copy may be faxed to the Board but the original and two additional copies must be mailed or hand delivered.) PETITIONER'S MAIUNG ADDRESS IS REQUIRED EVEN IF PETITIONER IS REPRESENTED BY AN AGENT OR ATTORNEY Signature of Agent[]or A Signature of Petitioner Ethan Horn GA HC REIT II Greeley MOB LLC Printed Name Printed Name 5251 DIG Parkway, Suite 1045 18191 Von Karman Ave, Suite 300 Mailing Address Mailing Address Greenwood Village, CO 80111 Irvine, CA 92612-7106 City,State,Zip Code City,State,Zip Code Telephone: 720.524.0022 Telephone: Daytime number E-Mail: ethan.horn@ryan.com E-Mail: 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 intemet at w,vw.dola.Colorado.gov/baa or may be requested by phone at 303-864-7710. LETTER OF AUTHORIZATION FOR PROPERTY TAX REPRESENTATION GA HC REIT II Greeley MOB LLC Property Owner R7430598 Subject Property Weld County, CO Jurisdiction and State 2015/2016 Year This letter authorizes Ryan, LLC and its affiliate, Ryan Tax Compliance Services, LLC to represent the above-named property as its property tax agent in the jurisdiction and state named above. This authorization includes, but is not limited to: filing property renditions or returns; signing and filing appeals; examining property tax records; and, appearances before the assessor, boards of equalization or review, or other governmental agencies responsible for the assessment of property. If there are any questions concerning this authorization please contact the following: Jerad Larkin, 720.524.0022,jerad.larkin@ryan.com A copy of any application or appeal attached to this authorization has been provided to the undersigned property owner. A facsimile or scanned image of a signature below shall constitute an original signing of this authorization and the document containing the original signature will be submitted upon request. This authorization shall remain effective as long as permitted by law or until revoked in writing by the owner. The person signing below certifies that they are a duly appointed officer, representative or agent of the owner and that they have the legal capacity to execute this authorization. Owner: GA HC REIT II Greeley MOB,LLC Property Owner: By: American Healthcare Investors,LLC(Agent for Owner) �t'S c6/z� m(5— Signature Printed Name Date Title Sworn an .bed before me this day of , 2015. Notary Public My commission expires: • Client Griffin-American Healthcare REIT II, Inc./ REIT II -Individual Site: Greeley MOB CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California Q County of � � ) On � before me, V�yc-.1.-s_ ✓ + rS"[V Da e / Here Insert Name and Title of the Officer personally appeared C i i 1 S /-\"-c> ,\-R-Y Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph I- - -is true and correct. WITNESS my hand and official se I. a■��.. •..:iWAXY Public-California orange County `44 Comm. res Jun 15,2018 Signature Signature of Notary Public Place Notary Seal Above OPTIONAL t NAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document J _ Title or Type of Document: GG r`�`Q (� /1-1 Document Date: Number of Pages: / Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer Title(s): ❑Corporate Officer — Title(s): ri Partner — ❑ Limited G General ❑ Partner — ❑ limited O General Individual ❑Attorney in Fact fl Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: D Other: Signer Is Representing: Signer Is Representing: ©2014 National Notary Association'•www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5907 CLERK TO THE BOARD 1861 / 4icsee PHONE ( 970 ) 336-7215 , EXT 4226 FAX ( 970 ) 352 -0242 X ___ � WEBSITE : www . co . weld . co . us 1150 O STREET P . O . BOX 758 114 � a-DIN GREELEY CO 80632 T -� August 5 , 2015 GA HC REIT II GREELEY MOB LLC 0/0 TAX DEPT . 3131 S VAUGHN WAY STE 301 AURORA , CO 80014- 3509 RE : THE BOARD OF EQUALIZATION 2015 , WELD COUNTY , COLORADO ADMINISTRATIVE DENIAL OF PETITIONER ' S APPEAL AND AFFIRMATION OF ASSESSOR ' S VALUE ACCOUNT NO . : R7430598 Dear Petitioner: On July 30 , 2015 , the Board of County Commissioners of Weld County Colorado convened and acting as the Board of Equalization , pursuant to C . R . S . Section 39-8- 101 et seq . , considered your request for an Administrative Denial of your petition for appeal of the Weld County Assessor' s valuation of your property described above , for the year 2015 . The Assessment and valuation is set as follows : ACTUAL VALUE AS ACTUAL VALUE AS DETERMINED BY ASSESSOR SET BY BOARD $ 12 , 925 , 880. 00 $ 12 , 925 , 880. 00 A denial of a petition , in whole or in part , by the Board of Equalization must be appealed within thirty ( 30 ) days of the date the denial is mailed to you . You must select only one of the following three ( 3 ) options for appeal : 1 . Appeal to Board of Assessment Appeals : You have the right to appeal the County Board of Equalization ' s decision to the Colorado Board of Assessment Appeals . A hearing before that Board will be the last time you may present testimony or exhibits or other evidence , or call witnesses in support of your valuation . If the decision of the Board of Assessment Appeals is further appealed to the Court of Appeals pursuant to C . R . S . Section 39-8- 108 (2 ) , only the record of proceedings from your hearing before the Board of Assessment Appeals and your legal brief are filed with the appellate court . 2015-2526 AS0091 All appeals to the Board of Assessment Appeals filed after August 10 , 2015, MUST comply with the following provisions of C . R . S . Section 39 -8 - 107 ( 5 ) : ( 5 ) ( a ) ( I ) On and after August 10 , 2015 , in addition to any other requirements under law, any petitioner appealing either a valuation of rent-producing commercial real property to the board of assessment appeals pursuant to section 39-8 - 108 ; 1 ) or a denial of an abatement of taxes pursuant to section 39- 10- 114 shall provide to the county board of equalization or to the board of county commissioners of the county in the case of an abatement, and not to the board of assessment appeals , the following information , if applicable : (A) Actual annual rental income for two full years including the base year for the relevant property tax year; ( B ) Tenant reimbursements for two full years including the base year for the relevant property tax year; ( C ) Itemized expenses for two full years including the base year for the relevant property tax year; and ( D ) Rent roll data , including the name of any tenants , the address , unit, or suite number of the subject property , lease start and end dates , option terms , base rent, square footage leased , and vacant space for two full years including the base year for the relevant property tax year. ( II ) The petitioner shall provide the information required by subparagraph ( I ) of this paragraph ( a ) within ninety days after the appeal has been filed with the board of assessment appeals ( b ) ( I ) The assessor, the county board of equalization , or the board of county commissioners of the county , as applicable , shall , upon request made by the petitioner, provide to a petitioner who has filed an appeal with the board of assessment appeals not more than ninety days after receipt of the petitioner' s request, the following information : (A) All of the underlying data used by the county in calculating the value of the subject property that is being appealed , including the capitalization rate for such property ; and ( B ) The names of any commercially available and copyrighted publications used in calculating the value of the subject property . ( II ) The party providing the information to the petitioner pursuant to subparagraph ( I ) of this paragraph ( b) shall redact all confidential information contained therein . ( c) If a petitioner fails to provide the information required by subparagraph ( I ) of paragraph ( a ) of this subsection ( 5 ) by the deadline specified in subparagraph ( II ) of said paragraph ( a ) , the county may move the board of assessment appeals to compel disclosure and to issue appropriate sanctions for noncompliance with such order. The motion may be made directly by the county attorney and shall be accompanied by a certification that the county assessor or the county board of equalization has in good faith conferred or attempted to confer with such petitioner in an effort to obtain the information without action by the board of assessment appeals . If an order compelling disclosure is issued under this paragraph (c) and the petitioner fails to comply with such order, the board of assessment appeals may make such orders in regard to the noncompliance as are just and reasonable under the circumstances , including an order dismissing the action or the entry of a judgment by default against the petitioner. Interest due the taxpayer shall cease to accrue as of the date the order compelling disclosure is issued , and the accrual of interest shall resume as of the date the contested information has been provided by the taxpayer. Appeals to the Board of Assessment Appeals must be made on forms furnished by that Board , and must be mailed or delivered within thirty ( 30 ) days of the date the denial by the Board of Equalization is mailed to you . 2015-2526 AS0091 The address and telephone number of the Board of Assessment Appeals are : Board of Assessment Appeals 1313 Sherman Street , Room 315 Denver , Colorado 80203 Telephone Number: 303-866-5880 Fees for Appeal to the Board of Assessment Appeals : A taxpayer representing himself is not charged for the first two ( 2 ) appeals to the Board of Assessment Appeals . A taxpayer represented by an attorney or agent must pay a fee of $ 101 . 25 per appeal . OR 2 . Appeal to District Court : You have the right to appeal the decision of the Board of Equalization to the District Court of the /county wherein your property is located : in this case that is Weld County District Court . A hearing before The District Court will be the last time you may present testimony or exhibits or other evidence , or call witnesses in support of your valuation . If the decision of the District Court is further appealed to the Court of Appeals pursuant to C . R . S . Section 39-8- 108 ( 1 ) , the rules of Colorado appellate review and C . R . S . Section 24-4- 106 ( 9) , govern the process . OR 3 . Binding Arbitration : You have the right to submit your case to binding arbitration . If you choose this option , the arbitrator' s decision is final and you have no further right to appeal your current valuation . C . R . S . Section 39-8- 108 . 5 governs this process . The arbitration process involves the following : a . Select an Arbitrator : You must notify the Board of Equalization that you will pursue arbitration . You and the Board of Equalization will select an arbitrator from the official list of qualified people . If you cannot agree on an arbitrator, the District Court of the county in which the property is located ( i . e . , Weld ) will select the arbitrator. b . Arbitration Hearing Procedure : Arbitration hearings are held within sixty (60) days from the date the arbitrator is selected , and are set by the arbitrator . Both you and the Board of Equalization are entitled to participate in the hearing . The hearing is informal . The arbitrator has the authority to issue subpoenas for witnesses , books , records documents and other evidence pertaining to the value of the property . The arbitrator also has the authority to administer oaths , and determine all questions of law and fact presented to him . The arbitration hearing may be confidential and closed to the public if you and the Board of Equalization agree . The arbitrator' s decision must be delivered personally or by registered mail within ten ( 10) days of the arbitration hearing . c . Fees and Expenses : The arbitrator' s fees and expenses are agreed upon by you and the Board of Equalization . In the case of residential real property , the fess may not exceed $ 150 . 00 per case . For cases other than residential real property , the arbitrator' s total fees and expenses are agreed to by you and Board of Equalization , but are paid by the parties as ordered by the arbitrator. 2015-2526 AS0091 If you have questions concerning the above information , please call me at ( 970 ) 336-7215 , Ext . 4226 . Very truly yours , -dideAtA.1. tidis40 ;04. Esther E . Gesick , Clerk to the Board Weld County Board of County Commissioners Cc : Christopher Woodruff, Weld County Assessor RYAN 5251 DTC PARKWAY ONE DTC SUITE 1045 GREENWOOD VILLAGE , CO 80111 2015-2526 AS0091 • Rafaela Martinez From: Courtney Anaya Sent: Wednesday,July 22,2015 1:34 PM To: Esther Gesick;Rafaela Martinez Subject: FW:Medical Office bldg appeals inn Weld County Three Admin Denials... GA , /_ // k�l' //- ,�79 Courtney Anaya I { `LC lUr' /,� Analyst Weld County Assessor's Office (970)353-3845 ext.3670 canaya@weldgov.com I t:j = 1.1 Y-,'yiGcsranvzG.�, 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:Noel Lawrence Sent:Wednesday,July 22,2015 1:23 PM To:Courtney Anaya Subject:FW:Medical Office bldg appeals in Weld County 3 Admin Denials below. From:Horn,Ethan fmailto:Ethan.Horn@rvan.com] Sent:Wednesday,July 22,2015 1:22 PM To:Noel Lawrence Subject:RE:Medical Office bldg appeals in Weld County Hi Noel, We would like to request Administrative Denials for the 3 properties/appeals listed below as we try to gather more information. Thanks for your help and please let us know if you need anything else. 2015-2526 1 19s009/ Regards, Ethan Ethan Horn Senior Consultant Ryan 5251 DTC Parkway Suite 1045 Greenwood Village. CO 80111 720.524.0022 www.ryan.com Innovative Solutions to Taxing Problems From: Noel Lawrence [mailto:nlawrence@co.weld.co.us] Sent: Monday, July 20. 2015 11:57 AM To: Horn, Ethan Subject: Medical Office bldg appeals in Weld County 2 Good morning Ethan, I received the appeals on the following medical office facilities in Greeley that were valued based on their recent sales. R7193998 sold 09/06/2013 for $7,450,000. 80016390 sold 02/28/2013 for $15,050,000. • R7430598 sold 06/21/2012 for $13,200,000. The deeds and transfer declarations indicate these were arm's length market sales. If you have any documentation that would show otherwise please provide that to me. We are meeting tomorrow to schedule the hearings on July 29-31. If you are planning to proceed do you plan to attend a hearing or would you want to request Administrative Denial? Respectfully, Noel Lawrence Commercial Appraiser Assessor's Office 1400 N. 17th Avenue Greeley, CO 80631 970-353-3845 ext. 3695 trek ` 3 LIT 1( tk k r1 -NAY (c4,0 t-re a 1 the ct,( i K )✓I I Bit (`10 C� k NOTICE OF DETERMINATION RECEIVED Christopher M. Woodruff JUL 1 7 2015 Date of Notice: 6/30/2015 Weld County Assessor Telephone: (970) 353-3845 1400 N 17th Ave WELD COUNTY Fax: (970) 304-6433 Greeley, CO 80631 COMMISSIONERS Office Hours: 8:00AM - 5:00PM ACCOUNT NO. TAX YEAR TAX AREA LEGAL DESCRIPTION/PHYSICAL LOCATION R7430598 2015 0600 GR 2MHR Li BLK 1 REPLAT OF MOSIER HILL 2 ND FLG CC w GA HC REIT II GREELEY MOB LLC 0/O TAX DEPT. 5890 W 13 ST Apezan) CD 3131 S VAUGHN WAY STE 301 GREELEY,CO 000000000 AURORA,CO 80014-3509 cc 1/S a O cc ASSESSOR'S VALUATION PROPERTY CLASSIFICATION ACTUAL VALUE PRIOR TO ACTUAL VALUE AFTER REVIEW REVIEW COMMERCIAL 12;925,880 12,925,880 TOTAL $12,925,880 $12,925,880 The Assessor has carefully studied all available information, giving particular attention to the specifics included on your protest. The Assessor's determination of value after review is based on the following: CM01 - The Colorado Constitution requires commercial property to be valued using replacement cost, market and income approaches and assessed at 29%. If you disagree with the Assessor's decision, you have the right to appeal to the County Board of Equalization for further consideration, § 39-8-106(1)(a), C.R.S. The deadline for filing real property appeals is July 15. The Assessor establishes property values. The local taxing authorities (county, school district, city, fire protection, and other special districts) set mill levies. The mill levy requested by each taxing authority is based on a projected budget and the property tax revenue required to adequately fund the services it provides to its taxpayers. The local taxing authorities hold budget hearings in the fall. If you are concerned about mill levies, we recommend that you attend these budget hearings. Please refer to last year's tax bill or ask your Assessor for a listing of the local taxing authorities. Please refer to the reverse side of this notice for additional information. Agent (If Applicable): RYAN 5251 DTC PARKWAY ONE DTC SUITE 1045 GREENWOOD VILLAGE, CO 80111 614ft, 7,117 6000-0245 A500q/ APPEAL PROCEDURES County Board of Equalization Hearings will be held from July 29 through August 5 at 1150 O Street. To appeal the Assessor's decision, complete the Petition to the County Board of Equalization shown below, and mail or deliver a copy of both sides of this form to: Weld County Board of Equalization 1150 O Street, P.O. Box 758 Greeley, CO 80631 Telephone: (970) 356-4000 ext, 4225 To preserve your appeal rights, your Petition to the County Board of Equalization must be postmarked or delivered on or before July 15 for real property — after such date, your right to appeal is lost. You may be required to prove that you filed a timely appeal; therefore, we recommend that all correspondence be mailed with proof of mailing. You will be notified of the date and time scheduled for your hearing. The County Board of Equalization must mail a written decision to you within five business days following the date of the decision. The County Board of Equalization must conclude hearings and render decisions by August 5, § 39-8-107(2), C.R.S. If you do not receive a decision from the County Board of Equalization and you wish to continue your appeal, you must file an appeal with the Board of Assessment Appeals by September 10, § 39-2-125(1)(e), C.R.S. If you are dissatisfied with the County Board of Equalization's decision and you wish to continue your appeal, you must appeal within 30 days of the date of the County Board's written decision to ONE of the following: Board of Assessment Appeals District Court 1313 Sherman Street, Room 315 Contact the District Court in the County Denver, CO 80203 where the property is located. See your (303) 866-5880 local telephone book for the address and www.dola.colorado.gov/baa telephone number. Binding Arbitration For a list of arbitrators, contact the County Commissioners at the address listed for the County Board of Equalization. If the date for filing any report, schedule, claim, tax return, statement, remittance, or other document falls upon a Saturday, Sunday, or legal holiday, it shall be deemed to have been timely filed if filed on the next business day, § 39-1-120(3), C.R.S. PETITION TO COUNTY BOARD OF EQUALIZATION What is your estimate of the property's value as of June 30, 2014? (Your opinion of value in terms of a sp cific dollar amount is required for real property pursuant to §39-8-106(1.5), C.R.S.) $ �52 7a,cut:) What is the basis for your estimate of value or your reason for requesting a review? (Please attach additional sheets as necessary and an' The property y�M ��^^^•'hle sales, rent roll, original ert installed cost, appraisal, etc.) P p y is valued in excess of fair market value based on the three approaches to value. In addition,the property is valued in excess of other I ATTESTATION similarly situated properties. I, the undersi ed ow a 4.'1 of the piUpG:Ly u.,,,., .,,.,,,. .... . ..._ _.atements contained herein and on any is r t t e and complete. -7zo-szq-ccZ7_ Signature Telephone Number Date Jerad Larkin Email Address Attach letter of authorization signed by property owner. 15-DPT-AR PR 207-08/13 R7430598 8429446 LETTER OF AUTHORIZATION FOR PROPERTY TAX REPRESENTATION GA HC REIT II Greeley MOB LLC Property Owner R7430598 Subject Property Weld County, CO Jurisdiction and State 2015/2016 Year This letter authorizes Ryan, LLC and its affiliate, Ryan Tax Compliance Services, LLC to represent the above-named property as its property tax agent in the jurisdiction and state named above. This authorization includes, but is not limited to: filing property renditions or returns; signing and filing appeals; examining property tax records; and, appearances before the assessor, boards of equalization or review, or other governmental agencies responsible for the assessment of property. If there are any questions concerning this authorization please contact the following: Jerad Larkin, 720.524.0022,jerad.larkin@ryan.com A copy of any application or appeal attached to this authorization has been provided to the undersigned property owner. A facsimile or scanned image of a signature below shall constitute an original signing of this authorization and the document containing the original signature will be submitted upon request. This authorization shall remain effective as long as permitted by law or until revoked in writing by the owner. The person signing below certifies that they are a duly appointed officer, representative or agent of the owner and that they have the legal capacity to execute this authorization. Owner: GA HC REIT II Greeley MOB,LLC Property Owner: By: American Healthcare Investors, LLC (Agent for Owner) Ci is 6 ✓ ,/ 6-- SignaturePrinted Name Date SVP Title Sworn an bed before me this day of , 2015. Notary Public My commission expires: Client: Griffin-American Healthcare REIT II, Inc./ REIT II -Individual Site: Greeley MOB • • CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of C��ck � Q On ' before me, + JT}�� Da e Here Insert Name and Title of the Officer personally appeared C r S �v%�•k'y Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph ramowearimium+0++++++.4111is true and correct. Commission#207153RYAN MURILLO WITNESS my hand and official se I. Notary Public-California g z Mope County • ' 1.11 Comm.Estes Jun 15,2018 Signature Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. 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