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Home My WebLink About20142346.tiff Rosas PLLC Christopher C Rosas 8 Spencer Road Suite 300 Boerne TX 78006 US ic RECEIVED WELD BOARD OF COUNTY COMMISSIONERS AUG 3 1 2015 POB 758 16,-Iuu6 I GREELEY CO 80632 WELD COUNTY COMMISSIONERS To: Weld Board Of County Commissioners Subject: Service of documents in Safeway Inc v. Weld Board Of County Commissioners et al. You are being served with documents filed electronically through the Integrated Colorado Courts E-Filing System (ICCES) . Please review the following details concerning this service. • Court Location: Weld County • Case Number: 2014CV030810 • Case Name: Safeway Inc v. Weld Board Of County Commissioners et al • Filing ID: F0486164B2EEF • Filed Document Title(s) : • Notice of Mediation • Submitted on Date/Time: Thu Aug 27 18:30:17 MDT 2015 • Submitted by Authorizing Organization: Rosas PLLC • Submitted by Authorizing Attorney: Christopher C Rosas If you have a question about the above listed case, please contact the court. Information for all Colorado court locations is listed on the Colorado Judical Branch website http://www.courts.state.co.us/Index.cfm. I (WAY -a3gt, C0 CC ; 0 W� �6��UUUUUUFC01670104 9 -.2^X015 1508270036 Total Sheets in#10 4 DISTRICT COURT, WELD COUNTY, COLORADO Court Address: Weld County District Court 901 9th Avenue,POB 2038 DATE FILED:August 27,2015 Greeley, Colorado 80632 Plaintiff: SAFEWAY, INC., v Defendants: WELD BOARD OF COUNTY COMMISSIONERS acting A COURT USE ONLY A as the WELD BOARD OF EQUALIZATION and WELD COUNTY ASSESSOR CHRISTOPHER M. WOODRUFF Attorney or Party Without Attorney(Name and Address): Christopher C. Rosas,#33018 Case No.:2014CV30810 Dean D. Sellers, #43493 ROSAS, PLLC 6732 W.Coal Mine Ave.,#373 Littleton, Colorado 80123 Phone Number: (303) 903-4962 /E-mail: crosas@rosaspllc.com Fax Number: (303) 374-8152 NOTICE OF MEDIATION Plaintiff, Safeway Inc., by and through its counsel Christopher C.Rosas of Rosas, PLLC files this Notice of Mediation in compliance with C.RC.P. Rule 16(b) and/or any other Court Order. MEDIATION INFORMATION: DATE: 9/23/2015 TIME: 9:00 am LOCATION: Office Building of Judicial Arbiter Group, Inc. 1601 Blake Street, Suite 400 Denver, Colorado 80202 MEDIATOR: Howard M. Kirshbaum 1 1508270036 0130 167-1006 2 DATED this 27th of August 2015. ROSAS, PLLC: /S/ Christopher C. Rosas CHRISTOPHER C. ROSAS, #33018 DEAN D. SELLERS, #13493 6732 W. Coal Mine Ave., #373 Littleton, Colorado 80123 Telephone: (303) 903-4962 Facsimile: (303)374-8152 crosas(aaosaspllc.com dselle rs(iu rosasp llc.co m ATTORNEYS FOR PLAINTIFF, SAFEWAY, INC. 2 1508270036 0130 167-1006 3 CERTIFICATE OF SERVICE I hereby certify that a true and correct copy of the foregoing NOTICE OF MEDIATION was sent by electronic mail, certified mail return receipt requested or first class mail on this 27`h day of August 2015 to the following: Bob Choate Assistant County Attorney 1150 "O" Street POB 758 Greeley, Colorado 80632 /s/ Dean D. Sellers Dean D. Sellers 3 1508270036 0130 167-1006 4 ❑County Court Xp District Court RECEIVED Weld County, Colorado District Court of Colorado SEP 1 9 2014 WELD COUNTY Plaintiff:SAFEWAY, INC. COMMISSIONERS v. Defendant.WELD BOARD OF COUNTY COMMISSIONERS acting as the WELD BOARD OF EQUALIZATION and WELD COUNTY ASSESSOR CHRISTOPHER M.WOODRUFF A COURT USE ONLY Attorney or Party Without Attorney: Case Number.2014CV030810 ROSAS PLLC 3515 S Tamarac Drive#100b Division Courtroom Denver,CO 80237 Phone Number. (303)9034962 E-mail: FAX Number. (303)374-8152 Atty. Reg.#: AFFIDAVIT OF SERVICE__ Received by ABEYTA STREET ACCURATE PROCESS SERVICES, INC.to be served on WELD BOARD OF COUNTY COMMISIONERS,1150 0 STREET,GREELEY,CO 80631. I, Billy Humphrey, being duly sworn, depose and say that on the 8th day of September,2014 at 1:16 pm, I: served a CORPORATION by delivering a true copy of the District Court Civil(CV)Cover Sheet for Initial Pleading of Complaint,Counterclaim,Cross-Claim or Third party Complaint,Summons,and Complaint with the date and hour of service endorsed thereon by me,to: RAFAELA MARTINEZ as DEPUTY CLERK for WELD BOARD OF COUNTY COMMISIONERS, at the address of 1150 0 STREET,GREELEY,CO 80631,and informed said person of the contents therein, in compliance with state statutes. Description of Person Served:Age:24,Sex: F, Race/Skin Color. Hispanic, Height 5'7",Weight 120, Hair Black, Glasses: N I have charged the following fees for my services in this matter. Private Process Server Fee:$55.00 I certify that I am over the age of 18 and have no interest in the above action. /V/III Signature of 1.7.# 14L1/11,11 ror Serve Subscribed and Sworn to before me on the 12th day of September,2014 by the afffaant who is personally kn me. L ( YY n' Billy Humphrey Process Sarver NOTARY PUBLIC ABEYTA STREET ACCURATE PROCESS SERVICES, INC. 5303 E EVANS AVE My Commission Expires:© ( e. 0 I��j � SUITE 30808 DENVER, CO 80222 AMBER WILSON (303)881-6180 NOTARY PUBLIC STATE OF COLORADO NOTARY ID#20104029192 MY COMMISSION EXPIRES AUGUST 05,2018 Page 1 of 1 Reference: AFFIDAVIT OF SERVICE Job Number ABE-2014017253 COmmtan.iuchoru CC CA /3y) yoiq_ 23gW 9t-29-/W 9/zy AS 0082 DIS I RICt COURI, WELD COUNTY,COLORADO Court Address: Weld County District Court 901 9'"Ave. POB 2038 Greeley, Colorado 80631 Plaintiff: SAFEWAY, INC. v. Defendants: WELD BOARD OF COUNTY COMMISSIONERS acting A COURT USE ONLY A as the WELD BOARD OF EQUALIZATION and WELD COUNTY ASSESSOR CHRISTOPHER N. WOODRUFF Attorney or Party Without Attorney(Name and Address): Christopher C. Rosas, #33018 Case No.: 2014CV030810 Dean D. Sellers, #43493 ROSAS, PLLC 3515 S.Tamarac Drive, #100B Denver, Colorado 80237 Phone Number: (303) 328-3125 /E-mail: crosas@rosasplIc.com Fax Number: (303)374-8152 SUMMONS [¶I j You, WELD BOARD OF COUNTY COMMISSIONERS acting as the WELD BOARD OF EQUALIZATION and WELD COUNTY ASSESSOR CHRISTOPHER M. WOODRUFF, are hereby summoned and required to appear and defend against the Original Complaint and Appeal in this action which is herewith served upon you by serving upon the undersigned an Answer or other proper response within twenty one days (21) days of service of this Summons upon you pursuant to the C.R.C.P Rule 12(a). If you fail to do so,judgment by default will be taken against you for the relief demanded in the Original Complaint and Appeal. 1 • DISTRICT COURT, WELD COUNTY, COLORADO Court Address: Weld County District Court 901 9th Ave. POB 2038 Greeley, Colorado 80631 Plaintiff: SAFEWAY, INC. V. Defendants: WELD BOARD OF COUNTY COMMISSIONERS acting A COURT USE ONLY A as the WELD BOARD OF EQUALIZATION and WELD COUNTY ASSESSOR CHRISTOPHER M. WOODRUFF Attorney or Party Without Attorney(Name and Address): Christopher C. Rosas, #33018 Case No.: 2014CV030810 Dean D. Sellers, #43493 ROSAS, PLLC 3515 S.Tamarac Drive, #1008 Denver, Colorado 80237 Phone Number: (303)328-3125/E-mail: crosasCu;rosaspllacom Fax Number: (303)374-8152 CERTIFICATE OF SERVICE I hereby certify that on September 17, 2014, a true and correct copy of the following documents: SUMMONS; AFFIDAVIT OF SERVICE and CERTIFICATE OF SERVICE were mailed by electronic mail, U.S. certified mail return receipt requested or U.S. first class mail to the following: Weld Board of County Commissioners Weld County Assessor Christopher M Woodruff 1 150 "O" Street, POB 758 1400 N. 17L Ave. Greeley, Colorado 80632 Greeley, Colorado 8063 I /s/ Dean D. Sellers Dean D. Sellers AASSESSMENT 121 interpark blvd.,ste.308 san antonto,texas 78216 August 8,2014 p\210.222.1221 f\210.222.9519 atechltd.corn Certified Article Number State Board of Assessment Appeals 7196 9008 9111 8145 716- 1313 Sherman Street,Room 315 SENDERS RECORD' Denver,CO 80203 RE: Petition(s)to the State Board of Assessment Appeals for TY 2011 and 2012 Dear Sir or Madam, Enclosed please fmd an original and three copies of each Petition(s)to the State Board of Assessment Appeals for the following accounts listed below along with a check in the amount of$1215.00 for filing fees. 2011/2012 P0004635 Weld 2011/2012 P2408703 Weld 2011/2012 P1809301 Weld 2011/2012 P2027402 Weld 2011/2012 P2722504 Weld 2011/2012 P0004634 Weld Should you have any questions,please contact our office at(210)222-1221. Thank you, 1,Qefritar£MnCW�d Heather Chambless Administrative Assistant closures:as stated cc: Weld County Board of Commissioners Certified Article Number 7196 9008 9111 2894 5299 SENDERS RECORD CCA eft (BS)Rs4cM G�nn�ruan�cUd�of.� $ I'1 i'� 0,?o/'i- a3f,,6 PETITION TO STATE BOARD OF ASSESSMENT APPEALS For Office Use Only 1313 Sherman Street, Room 315 Phone: (303)864-7710 Denver, Colorado 80203 Fax: (303)864-7719 Docket No. Fee: Y N Check/Credit Card# Date: 8/8/2014 4 Property Owner: Safeway, Inc. Subject Property: 4548 Centerplace Dr. Greeley Street Address City Schedule Number(s): P2722504 Attach separate sheet if necessary Appeals the decision of the Weld O Board of Equalization g$oard of Commissioners Dated: 6/9/2014 County O State Property Tax Administrator • This Appeal concerns: ❑Valuation 0 Refund/Abatement O Exemption O State Assessed Tax Year: 2011 The subject property is currently classified as: ❑Agricultural ❑Commercial ❑Exempt O Industrial ❑Mixed Use ❑Natural Resources ❑Oil & Gas 0 Personal ❑Possessory O Producing ❑Residential O State Assessed O Vacant Land Interest Mines Actual Value assigned to subject property: $1,617,928 Petitioner's estimate of value: $647,171 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 ❑Petitioner will appear by telephone 0 Petitioner will be represented by an agent Petitioner is responsible for calling the Board at 303-866-5880 0 Petitioner will be represented by an attorney on the scheduled date and time of hearing(Mountain Time Zona) 0 Petitioner would like to appear by video conference Petitioner must contact the Board at 303-866-5880 at least 20 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 S10,000,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 as of August 7,2013.A trust filing a petition as of August 8,2012 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). O $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 Property not assessed at fair market value-including adjustments for obsolenscence. per Required attachments to this form: ❑ Assessor's or Properly Tax Administrator's Notice of Valuation or Notice of Denial 2 Decision of County Board of Equalization, County Board of Commissioners or Property Tax Administrator Attachments required under certain circumstances: O 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, faxed or hand delivered to: O Board of Equalization Weld ci Board of Commissioners County D State Property Tax Administrator at the following address: 1150 O Street, PO Box 758, Greeley, Colorado 80632 on 8/8/2014 . 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 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 8/8/2014 Date (One copy may be faxed to the Board but the original and two additional copies must be mailed or hand delivered.) Petitioner's Mailing Address is Required Even if Petitioner is Represented by An Agent or Attorney (per C.R.S. 39-8-1091 V,I;It �-N .C,�lz�� Si VI; of Agent 0 or Attorney O Signature of Petitioner James Hausman Safeway, Inc. Printed Name Printed Name 121 Interpark Blvd., Suite 308 1371 Oakland Blvd., #200 Mailing Address Mailing Address San Antonio, Texas 78216 Walnut Creek, CA 94596 City, State, Zip Code City, State, Zip Code Telephone: 210-222-1221 Telephone: 925-938-2244 x300 Daytime number E-Mail: Safeway@atechltd.com E-Mail: donn.matsuzaki@safeway.com Attorney Reg. No.: 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 Web at www.dola.Colorado.gov/baa or may be requested by phone at 303-866-5880. • PETITION FOR ABATEMENT OR REFUND OF TAXES / ' County: Weld CO Date Received c ?O/3 -Q� (Use Assessors or Commissioners Date Stamp) Section I: Petitioner, please complete Section I only. Date: 12/23/2013 Month Day Year Petitioner's Name: Safeway Inc Petitioner's Mailing Address: 1371 OAKLAND BLVD 200 WALNUT CREEK CA 94596 City or Town State Zip Code SCHEDULE OR PARCEL NUMBER(S) PROPERTY ADDRESS OR LEGAL DESCRIPTION OF PROPERTY P2722504 4548 Centerpiece Dr. Petitioner requests an abatement or refund of the appropriate taxes and states that the taxes assessed against the above property for property tax year(s) 2011 and 2012 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.) RECEIVE D r' Property not assessed at fair market value-including adjustments for obsolescence t•iz ( ;; MAY 0 9 2014 WELD COMMISSIONERS WELD COUNTY COMMISSIONERS Petitioner's estimate of value: §647'171 20( 11 )and §563,719 (2012 ) Value Year 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. OiZetItioner Daytime Phone Number 1 ) j(1JSl'en/atuuse By .(J� l4+-t/vk Daytime Phone Number 1 2-10 2 Z 2 12Z. ) Agent's Signature* '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: Assessor's Recommendation n (For Assessors Use Only) Tax Year 20( ( Tax Year ?Or A0 a Assessed Tax fuel Among Tax Original1 1t l7)9)g '$LI(011260 113921.(}541);Lfoc , tr -4l'iD$(7do $(31137S, ` 1 corrected l lr(7 `1zg 1 -IIIs91 ?d0 - 13516eI.yS-4Idi (((z/{6 4f-(Lc('70 37S 13( 7S. `(`l Abate/Refund �� Y 1 %j O Assessor recommends approval as outlined above. �L(/ If the request 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)(a)(I)(D),C.R.S. Tax year: Protest? O No ❑Yes (if a protest was filed,please attach a copy of the NOD.) Tax year: Protest? O No ❑Yes (If a protest was flied,please attach a copy of the NOD.) Assessor recommends denial for the following reason(s): y Val ua-el eO r )re-ett 1 our ye oral. I ' e c,r L 104 „'J La 7vocuakire/0. / 40 Assessor or Depu y Assessor's nature 15-DPT-AR No.920-66111 � SAFEUVAYINC. l� 5918 SIONERIOGE MALL ROAD • PLEASANTON,CA 946663229 January 24,2014 RE: Appointment of Agent Safeway,Inc. To Whom It May Concern: Please be advised that the firm of Assessment Technologies, Ltd.,("ATLTD")has been retained and granted power of attorney to represent the interests of the entity Safeway,Inc. with respect to all property tax issues and matters regarding all business personal property accounts with your office, including but not limited to abatements and appeals for 2011, 2012 and/or 2013. Communications related to the appeals process should be mailed to: Assessment Technologies,Ltd. 121 Interpark,Suite 308 San Antonio, TX 78216 Ann:Safeway,Inc Account Manager Thank you tor your assistance in this matter. If you should have any questions or concerns please contact Heather Chamhless, Account Manager at (210) 222- 1221 or by email at ILhamblesstliatechltd.com . sincerely, Donn Matsuzaki Asst. Tax Manager SEE ATTACHED CALIFORNIA NOTARIAL CERTIFICATE n Recyded tor Paper CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT • State of California • County of Contra Costa On &h. II O76 i4 before me, 't'DOc IharSIlfri Notary Public (Hen insert mane and title of the officer) • personally appeared "Lana Mid SU to • • who proved to me on the.basis of satisfactory evidence to be the person whose name : sere subscribed to the within instrument and acknowledged to me that 1yC(she/they executed the same i,4 i a er/their authorized capacity,and that b t her/their signature(f on the instrument the personLdj,or the entity upon behalf of • which the personsg)acted,executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct • , BROOK THURSTON • S my hand and official seal. _ Cammbalen 9 2037638 " "• Notary Public-California to?+, Contra Costa County 3 Comm.E Irea 18 2017 Si Homy ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment completed in Cal:Arnie aunt scarab. verbiage exactly DESCRIPTION OF THE ATTACHED DOCUMENT appears above in the notary action or a separate aefnowledanwu form mien be AVON,�Q _• ,, � properly completed and attached to that document The.only eaeeption !r Vag lethit�1 1 tzar doemmu k ro be acceded moxWe ofC�a(forma.ta..trh(rutmwi my dtenwit e AVON, or description of estac ) aebwnldgment verbiage u may be plated an nth a document x0-long as the • verbiage does not require the.rotary to do something that is Illegal Jar a nanny in Califomfa(Le certifying the awhorted rapacity of the signer).Please check the (Title ordescripdon of attached document continued) documentcmedtellyforpoPeraebrrfal xosdlgand avxh rhisfonm Or required Number of Pages ,� Document Date i ja11 J i q • Stets and Cotmty information must be the State end County when the document Clr,��tt signerk)personally appeared before the notary public fen stlmowkdgment lilt S Aa4L) • Date ofnotucacon must be the dare that the signer(e)pasomlly appeared which u0- must also be the same date the aelmmvledgesent is completed. (Additional Information) • The notary public must print his or her nun as it appears within his or her • cammisei=followed bye comma and then your title(notary public). • Pratt the name(s)of document signer(s)who personally spinest the time of notarisation CAPACITY CLA IVIED BY THE SIGNER • Indicate the correct singular or plural forms by ironing off Incorrect forms(it Individual(a) heishe the may lead i or circling the correct forma.Failure to correctly indicate this 0 Corporate Officer information• to rejection of document recording. The notary sat impression must be clan and photographically.reproducible. (True) auumc�aea�b,otthhetwisiseco or lm complete smudges. age"omal to P acknowledgment font 0 Partnta•(9) • un of the rotary public must match the signalize on file with the office of 0 Attorney-in-Fact the county clerk Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment k not mist or attached to a different document 0 Other Indicate title or type of attached document•number of pages end date. Indicate the capacity claimed by the signer.If the claimed capacity is a corporate officer,Indicate the title(la CEO,CFO,Secretary). • Securely attach this document to the signed document 2008 Version CAM vl210.07 800-873.9865 www.NotaryClaves.com CLERK TO THE BOARD 1861 PHONE: (970) 336-7215, Ext. 5226 FAX: (970) 352-0242 1150 O STREET i9X71Jfjfl O758 GREELEY, COLORADO 80632 COUNTY RECEIVED BY JUL 1 4 2014 July 9, 2014 ASSESSMENT TECHNOLOGIES Safeway, Inc. 1371 Oakland Blvd Suite #200 Walnut Creek, CA 94596 RE: SCHEDULE NUMBER: See Attached List Dear Property Owner: On June 9, 2014, the Board of Weld County Commissioners considered your petition for abatement or refund of taxes and denied same. Pursuant to Section 39-2-125(f), C.R.S., 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: 303-866-5880 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/index.htm Very truly yours, °-b a. a ..9-eocasi, Rafaela A. Martinez Deputy Clerk to the Board cc: Assessor RM/eg 2011 AND 2012 PETITION FOR ABATEMENT-SAFEWAY, INC PAGE 2 List of Schedule/Parcels: Owner Name County Schedule/Parcel Property Address Safeway Weld CO P0004635 1122 Ave Greeley Safeway Weld CO P2408703 1300 Dexter St. Ft. Lupton Safeway Weld CO P1809301 1535 Main St. Safeway Weld CO P1962001 1535 Main St. Safeway Weld CO P2027402 8134 14 Cr. Road Safeway Weld CO P2722504 4548 Centerplace Dr. Safeway Weld CO P3012005 4632 Centerplace Dr. Safeway Weld CO P0004634 3526 W. 10th St. Safeway Weld CO P2027302 8206 13 Cr. Road RESOLUTION RE: ACTION OF THE BOARD CONCERNING PETITION FOR ABATEMENT OR REFUND OF TAXES - SAFEWAY, INC. (9 PARCELS) 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 9th day of June, 2014, at which meeting there were present the following members: Acting Chair Pro-tem Mike Freeman, and Commissioners Sean P. Conway, and William F. Garcia, with Commissioners Doug Rademacher and Barbara Kirkmeyer excused. 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, Christopher Woodruff, being present, and taxpayer, Safeway, Inc., not being present, and WHEREAS, the Board of County Commissioners has carefully considered the attached petitions for 9 parcels, 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. CORRECTION PARCEL TO ASSESSED ABATEMENT TAX NUMBER VALUATION OR REFUND YEAR P0004635 $0.00 $0.00 2011/2012 P2408703 $0.00 $0.00 2011/2012 P1809301 $0.00 $0.00 2011/2012 P1962001 $0.00 $0.00 2011/2012 P2027402 $0.00 $0.00 2011/2012 P2722504 $0.00 $0.00 2011/2012 P3012005 $0.00 $0.00 2011/2012 P0004634 $0.00 $0.00 2011/2012 P2027302 $0.00 $0.00 2011/2012 2014-1683 AS0087 TAX ABATEMENT PETITION- SAFEWAY, INC. (9 PARCELS) PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 9th day of June, A.D., 2014. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST:die/Li r�J EXCUSED •� Douglas Rademacher, Chair Weld County Clerk to the Board EXCUSED Barbara Kirkmeyer, Pro-Tern BY: alno� MI n D ty Clerk to the Board� � P c' Sean P. Conway APP. o r, I AS Mike Fre- a , ting Chair Pro-Tern dunty 'ttorney • '�� . � I at: t.,a liam F. Garcia Date of signature: 7-S- % : ,144 2014-1683 AS0087 '7 111111141 f 171'l l'1'�R1l1�1�1 - JJr9' �. Ill IHIIIIM 3, .�f,1/M�Y' 02 IR 07.61tr 0002011513 JUL11 2014 7004 2890 0003 5708 9653 �� "< MAILED FROM ZIPCODE 30631 CLERK TO THE BOARD 4''66' 1150 O STREET :•j r'' - 1 PO BOX 758 WI' L' GREELEY CO 80632 ,C Off- TY ATTN: SAFEWAY, INC.ACCOUNT MANAGER ASSESSMENT TECHNOLOGIES,LTD. 121 INTERPARK SUITE#308 SAN ANTONIO,TX 78216 • RECENED SY JUL-1 4 1014 ASSESSMENT TECHNOLOGIES IihIN'r I'II' lil� i�Jli'iiil .•� ii ,��i�;�;j••:;, PETITION TO STATE BOARD OF ASSESSMENT APPEALS For Office Use Only 1313 Sherman Street, Room 315 Phone: (303)864-7710 Denver, Colorado 80203 Fax: (303)864-7719 Docket No. Fee: Y N Check/Credit Card C Date: 8/8/2014 P F Property Owner: Safeway, Inc. Subject Property: 4548 Centerplace Cr. Greeley Street Address City Schedule Number(s►: P2722504 Attach separate sheet if necessary ❑Board of Equalization Appeals the decision of the Weld )2(Board of Commissioners Dated: 6/9/2014 County ❑State Property Tax Administrator This Appeal concerns: ❑Valuation 0 Refund/Abatement ❑Exemption ❑State Assessed Tax Year: 2012 The subject property is currently classified as: ❑Agricultural ❑Commercial ❑Exempt O Industrial ❑Mixed Use O Natural Resources o Oil &Gas 2 Personal ❑Possessory O Producing ❑Residential O State Assessed ❑Vacant Land Interest Mines Actual Value assigned to subject property: $1,409,298 Petitioner's estimate of value: $563,719 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 OPetitioner will appear by telephone 0 Petitioner will be represented by an agent Petitioner is responsible for calling the Board at 303-866-5880 0 Petitioner will be represented by an attorney on the scheduled date and time of hearing(Mountain Time Zone) D Petitioner would like to appear by video conference Petitioner must contact the Board at 303-866-5880 at least 20 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$10,000,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 as of August 7,2013.A trust filing a petition as of August 8,2012 may be represented by a trustee,an attorney or an agent. Filing Fee: P 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). 0 $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 Property not assessed at fair market value-including adjustments for obsolenscence. Required attachments to this form: 0 Assessor's or Property Tax Administrator's Notice of Valuation or Notice of Denial O Decision of County Board of Equalization, County Board of Commissioners or Property Tax Administrator Attachments required under certain circumstances: O A notarized Letter of Authorization if an agent will be representing Petitioner O 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: 0 Board of Equalization Weld 0 Board of Commissioners County a State Property Tax Administrator at the following address: 1150 O Street, PO Box 758, Greeley, Colorado 80632 on 8/8/2014 • 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 . 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 8/8/2014 . Date (One copy may be faxed to the Board but the original and two additional copies must be mailed or hand delivered.) Petitioner's Mailing Address is Required Even if Petitioner is Represented by An Agent or Attorney (per C.R.S. 39-8-1091 Si ature of Agent ® or Attorney 0 Signature of Petitioner James Hausman Safeway, Inc. Printed Name Printed Name 121 Interpark Blvd., Suite 308 1371 Oakland Blvd., #200 Mailing Address Mailing Address San Antonio, Texas 78216 Walnut Creek, CA 94596 City, State, Zip Code City, State, Zip Code Telephone: 210-222-1221 Telephone: 925-938-2244 x300 Daytime number E-Mail: Safeway@atechltd.com E-Mail: donn.matsuzaki@safeway.com Attorney Reg. No.: 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 Web at www.dola.Colorado.gov/baa or may be requested by phone at 303-866-5880. PETITION FOR ABATEMENT OR REFUND OF TAXES County: Weld CO Date Received aO/3 -066 (Use Assessor's or Commissioners'Date Stamp) Section I: Petitioner, please complete Section I only. Date: 12/23/2013 Month Day Year Petitioners Name: Safeway Inc Petitioners Mailing Address: 1371 OAKLAND BLVD 200 WALNUT CREEK CA 94596 City or Town State Zip Code SCHEDULE OR PARCEL NUMBER(S) PROPERTY ADDRESS OR LEGAL DESCRIPTION OF PROPERTY P2722504 4548 Centerpiece Dr. • Petitioner requests an abatement or refund of the appropriate taxes and states that the taxes assessed against the • above property for property tax year(s) 2011 and 2012 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 gror or overvaluation. Attach additional sheets if necessary.) RECEIVED Property not assessed at fair market value-including adjustments for obsolescence L;,y" c ..,., • MAY 0 9 2014 WELD COUNTY WELD SOON TY COMMISSIONERS Petitioner's estimate of value: $647'171 (2011 )and 6563,719 (2012 ) Value Year 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. 1Y Daytime Phone Number f ) .I Petitioner r Slgnatuups By '"'AA. k.. .fn Ltik Daytime Phone Numbers 2-iu) LZ 2 122- t Agent's Signature' '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 Properly 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: Assessor's Recommendation �1 (For Assessors Use Only) Tax Year 20I I Tax Year 2.6 r 2 Actual AS 4 T3 Actual Assessed Tax Ddginal�( Iltvt"71G�2i' qi - [pqf 260 II3 92,1,q.�4)J L t&;fz(dp(H3ly y - 7do m¶4 3I 37S..Li1 Corrected ' (P( yl "(^tPy/q( zdb — 3Sl eel.`IC ((�{ol(��,Z''��C((0 al Lt .L 3( 375. -Ui Abate/Refund Y CI 0 Assessor recommends approval as outlined above. i If the request 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)(a)(I)(D),C.R.S. Tax year. Protest? O No ❑Yes (If a protest was filed,please attach a copy of the NOD.) Tax year: Protest? ❑No O Yes (If a protest was filed,please attach a copy of the NOD.) Assessor recommends denial for the following reason(s):ValtL4 or re-C_L \ outA-oY I Cil`t ?t(oC4 cf.Lrto . 1 Assessor' or Depu Assessor's nature 15DPT-AR No.920-66/11 (Si Si SAFEWAYINC. `�� 541E STONERIOGE MALL ROAD . PLEASANTON,CA unarm January 24,2014 RE: Appointment of Agent Safeway,Inc. To Whom It May Concern: Please be advised that the firm of Assessment Technologies, Ltd.,("ATLTD")has been retained and granted power of attorney to represent the interests of the entity Safeway,Inc. with respect to all property tax issues and matters regarding all business personal property accounts with your office, including but not limited to abatements and appeals for 2011,2012 and/or 2013. Communications related to the appeals process should be mailed to: Assessment Technologies,Ltd. 121 Interpark Suite 308 San Antonio, TX 78216 Attn:Safeway,Inc.Account Manager Thank you tor your assistance in this matter. If you should have any questions or concerns Please contact Heather Chambless, Account Manager at (21O) 222- 1221 or by email at hi ham blesstiautechltd.com• Sincerely, Donn Matsuzald Asst. Tax Manager SEE ATTACHED CALIFORNIA NOTARIAL CERTIFICATE s. Recycled Po%Parlor CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California • • County of Contra Costa • On fth. II t O7b1't before me, ?WOOL IhurSJtfl • Notary Public (Here insert name and title of the office) • personally appeared --Diem rth$Ll a t•-.I • who proved to me on the,basis of satisfactory evidence to be the personsawf whose name : sure subscribed to the within instrument and acknowledged to me tha le he/hey executed the same i it r r er/their authorized capacityco4.and that by her/heir signature(f on the instrument the person fd), or the entity upon behalf of • which the persons/)acted,executed the instrument I certify under PENALTY OP PERJURY under the laws of the State of California that the foregoing paragraph is true and correct • ., snook THURST0N WITNESS my hand and official seal. Commission 9 2037638 + ^•`)L NotaryCons cos -Counnrnis �t5 R3Et7 �t'r r.T� Ca E Costa County Comm..E Iran 18 2017 CN Si eonY ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING TIES FORM DESCRIPTION OF TAE ATTACHED DOCUMENT Any s above in doe completed In Catania pa meat cantata verbiagentfa s ana as appears tar,sedan or a separate acknowledgment form sties be I properly completed and attached to that document The.any caption is (f a Anoint rein .Tt Idw ,,,,-j• downs 4 to be recorded mantle of ptuornia.roc nth Wtument any altemathe I • (Title or detaiptlaa afatme nooutrvlea' �/, aeAtmrldgment verbiage as my be printed on such a document so long as the dam* verbiage does not mart the notary to do something that Is Illegal for a notary in eai(fomm It,,certifying the au hooted capacity of the signer).Please cheek the (Tide Deduct/pion of attached document continued) document coretidWorproper notarial warding and attach this form((requbed Number of Pages 2. _ Document Date I jag!IL( • State ant County ito etion must bathe State end County when the document 61t.1 tadt 'fin S sigma(,)personally appeared before the notary public for aelmowledgment Mk pis) • Date of notation mat be U.date that the signer(o)IMsotsslly appeared which • U must also be the tame date the acknowledgment Is completed. • (Additional information) • The notary public must print hit or ha moss as it appears within his or her • commission followed by a comma and then yam tide(notary public). • Print the tame(s)of document signer(s)who personalty appeal at the time of notarization CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off Incorrect forms(i.e. Individuals M fshe/hes7 is/an)or cholla'die correct forme Pailtm to correctly indicate this on may ead to mjectien❑ Corporate Officer • me notary reel impressionmust beotter tandphhoto apephotographically.reproducible. !mprasion must not cover tend or line If seal impression smudges.re-seal if a (Tide) sufficient area permit,otherwise complete a different acknowledgment forest ❑ Partner(,) • Sigmanue of the notary public must match the signature on file with the office of the cotuty clerk. ❑ Attorney-in-Feet 3 Additional information is not required but could help to ensure this ❑ Trustee(,) acknowledgment Is not misused or attached to a different document ❑ Other Indicate title or type of attached document,number of pages and data •} Indicate the capacity claimed by the signer.If the claimed capacity is a corporate officer,indicate the tide(in CEO,CFO,Secretary). • Securely attach this document to the signed document 200E Version CAPAv12.10.07 800.873.9865 www.NotaryClassescom . CLERK TO THE BOARD PHONE: (970) 336-7215, Ext. 5226 4,1861; FAX: (970) 352-0242 1150 O STREET PIP.O. BOX 758 �r GREELEY, COLORADO 80632 G O U N I I RECEIVED BY JUL 1 4 2014 July 9, 2014 ASSESSMENT TECHNOLOGIES Safeway, Inc. 1371 Oakland Blvd Suite #200 Walnut Creek, CA 94596 RE: SCHEDULE NUMBER: See Attached List Dear Property Owner: On June 9, 2014, the Board of Weld County Commissioners considered your petition for abatement or refund of taxes and denied same. Pursuant to Section 39-2-125(f), C.R.S., 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: 303-866-5880 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/index.htm Very truly yours, cot(to a &-Q , Rafaela A. Martinez Deputy Clerk to the Board cc: Assessor RM/eg 2011 AND 2012 PETITION FOR ABATEMENT-SAFEWAY, INC PAGE 2 List of Schedule/Parcels: Owner Name County Schedule/Parcel Property Address Safeway Weld CO P0004635 1122 Ave Greeley Safeway Weld CO P2408703 1300 Dexter St. Ft. Lupton Safeway Weld CO P1809301 1535 Main St. Safeway Weld CO P1962001 1535 Main St. Safeway Weld CO P2027402 8134 14 Cr. Road Safeway Weld CO P2722504 4548 Centerplace Dr. Safeway Weld CO P3012005 4632 Centerplace Dr. Safeway Weld CO P0004634 3526 W. 10th St. Safeway Weld CO P2027302 8206 13 Cr. Road RESOLUTION RE: ACTION OF THE BOARD CONCERNING PETITION FOR ABATEMENT OR REFUND OF TAXES - SAFEWAY, INC. (9 PARCELS) 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 9th day of June, 2014, at which meeting there were present the following members: Acting Chair Pro-tern Mike Freeman, and Commissioners Sean P. Conway, and William F. Garcia, with Commissioners Doug Rademacher and Barbara Kirkmeyer excused. 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, Christopher Woodruff, being present, and taxpayer, Safeway, Inc., not being present, and WHEREAS, the Board of County Commissioners has carefully considered the attached petitions for 9 parcels, 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. CORRECTION PARCEL TO ASSESSED ABATEMENT TAX NUMBER VALUATION OR REFUND YEAR P0004635 $0.00 $0.00 2011/2012 P2408703 $0.00 $0.00 2011/2012 P1809301 $0.00 $0.00 2011/2012 P19620O1 $0.00 $0.00 2011/2012 P2027402 $0.00 $0.00 2011/2012 P2722504 $0.00 $0.00 2011/2012 P3012005 $0.00 $0.00 2011/2012 P0004634 $0.00 $0.00 2011/2012 P2027302 $0.00 $0.00 2011/2012 2014-1683 AS0087 TAX ABATEMENT PETITION - SAFEWAY, INC. (9 PARCELS) PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 9th day of June, A.D., 2014. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: iado EXCUSED C G , Douglas Rademacher, Chair Weld County Clerk to the Board EXCUSED (� Barbara Kirkmeyer, Pro-Tern BY: O fii) Qp� l t< �nJdJ D d ty Clerk to the Board Sean P. Conway APPR AS a - : Mike Fre= a. ting Chair Pro-Tem dunty ttorney �,, .,, ^' liam F. Garcia lUI Date of signature: 1-S- ♦`®` 2014-1683 AS0087 s.ws']1,i 1I/I'I+Tl7/:114!1L51 II• I III II I I II• „ rY 02 IR OT0„;,3 s1„ 7004 2690 0003 5706 9653 < MAILED FROM ZIPCODE 30831 CLERK TO THE BOARD es1. 1150 O STREET PO BOX 758 rl .R GREELEY CO 80632 ATTN: SAFEWAY, INC.ACCOUNT MANAGER ASSESSMENT TECHNOLOGIES, LTD. 121 INTERPARK SUITE#308 SAN ANTONIO,TX 78216 RECENED • BY NO 4 1014- ASSESSMENT TECHNOLOGIES lilill°ii.l'II� lily dilli'ihl � u"Ihld b�li PETITION TO STATE BOARD OF ASSESSMENT APPEALS For Office Use Only 1313 Sherman Street, Room 315 Phone: (303) 864-7710 Denver, Colorado 80203 Fax: (303) 864-7719 Docket No. Fee: Y N ChetddCredit Card i Date: 8/8/2014 P G V Property Owner: Safeway, Inc. Subject Property: 8134 14 Cr. Road Firestone Street Address City Schedule Number(s): P2027402 Attach separate sheet if necessary Appeals the decision of the Weld ['Board of Equalization ❑Board of Commissioners Dated: 6/9/2014 County ❑State Property Tax Administrator This Appeal concerns: ❑Valuation 0 Refund/Abatement ❑Exemption O State Assessed Tax Year: 2011 The subject property Is currently classified as: ❑Agricultural O Commercial ❑Exempt O Industrial ❑Mixed Use O Natural Resources O Oil &Gas 0 Personal ❑Possessory O Producing ❑Residential ❑State Assessed ❑Vacant Land Interest Mines Actual Value assigned to subject property: $975,225 Petitioner's estimate of value: $390,090 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 ❑Petitioner will appear by telephone 0 Petitioner will be represented by an agent Petitioner is responsible for calling the Board at 303-866-5880 0 Petitioner will be represented by an attorney on the scheduled date and time of hearing(Mountain Time Zone) 0 Petitioner would like to appear by video conference Petitioner must contact the Board at 303-866-5880 at least 20 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$10,000,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 as of August 7,2013.A trust filing a petition as of August 8,2012 may be represented by a trustee,an attorney or an agent. Filing Fee: P 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). RI $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 Property not assessed at fair market value-including adjustments for obsolenscence. COPY Required attachments to this form: 0 Assessor's or Property Tax Administrator's Notice of Valuation or Notice of Denial O Decision of County Board of Equalization, County Board of Commissioners or Property Tax Administrator Attachments required under certain circumstances: O A notarized Letter of Authorization if an agent will be representing Petitioner O 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: 0 Board of Equalization Weld p Board of Commissioners county 0 State Property Tax Administrator at the following address: 1150 O Street, PO Box 758, Greeley, Colorado 80632 on 8/8/2014 . 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 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 8/8/2014 Date (One copy may be faxed to the Board but the original and two additional copies must be mailed or hand delivered.) Petitioner's Mailing Address Is Required Even if Petitioner is Represented by An Agent or Attorney (per C.R.S. 39-8-109 c /1\CC:: -�� t ntcO Sign ture of Agent ® or Attorney O Signature of Petitioner James Hausman Safeway, Inc. Printed Name Printed Name 121 Interpark Blvd., Suite 308 1371 Oakland Blvd., #200 Mailing Address Mailing Address San Antonio, Texas 78216 Walnut Creek, CA 94596 City, State, Zip Code City, State, Zip Code Telephone: 210-222-1221 Telephone: 925-938-2244 x300 Daytime number E-Mail: Safeway@atechltd.com E-Mail: donn.matsuzaki@safeway.com Attorney Reg. No.: 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 Web at www.dola.Colorado.gov/baa or may be requested by phone at 303-866-5880. PETITION FOR ABATEMENT OR REFUND OF TAXES �1 County: Weld CO Date Received CZ 3-067 (Use Assessors or Commissioners'Date Stamp) Section I: Petitioner,please complete Section I only. Date: 12/23/2013 Month Day Year Petitioners Name: Safeway Inc Petitioner's Mailing Address: 1371 OAKLAND BLVD 200 WALNUT CREEK CA 94596 City or Town State Zip Code SCHEDULE OR PARCEL NUMBER(S) PROPERTY ADDRESS OR LEGAL DESCRIPTION OF PROPERTY P2027402 8134 14 Cr.RD z r: Petitioner requests an abatement or refund of the appropriate taxes and state a -.the above property for property tax year(s) 2011 and 2012 are incorre y a' r1 K'., describe why the taxes have been levied erroneously or illegally,whether due o erroneous valuation,irregu any in levying,clerical ti lion.ape additional sheets if necessary.) Property not as a R111Mcape-including adjustments for obsolescenceDEC 31 2013 MAY 0 9 2044 -VELL ..A_ .i.• T ,y:3SESSOR GRi•= '_ _v COLORADO COMMISSIONERS Petitioner's estimate of value: a 90,090 c____2011 )and E352.594 (2012 ) Value Year 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. 1 Daytime Phone Number( 1 I 'J Petit ner'sSignature '7 I By ` tiAAJ LtW/- � Daytime Phone Number(G t0) Z2 ( 22 Agent's Signature' `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 139-2-125,C.R.S.,within thirty days of the entry of any such decision,§39-10-114.5(1),C.R.S. Section Ii: Assessor's Recommendation (For Assessor's Use Only) Tax Year•—O` I Tax Year -20i (q171?) �-l�Ae^tual As 4 Tax ual As 4 Tax Origlnal�-a"11y>''I�,-,)-Tc 11O 620 4)2. 6/j10(p.°ypKc.��'X$bl'(`'-1(J1�1d Q.cs-u30 T Z.57cI/•40 correcteS°` 91S I ti-S ''1 2 2,tS 2O .9 76( iOb-v ` 0 U\1'&(c Szcs (o&) 4 CSs�-g- .0,0 Abate/Refund (f/ C ❑Assessor recommends approval asoutlined above. —r-f-- If the request 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)(a)(q(D),C.R.S. Tax year. Protest? 0 No ❑Yes (If a protest was filed,please attach a copy of the NOD.) ��Tajjjx year. Protest? 0 No 0 Yes (If a protest was vied,please attach a copy of the NOD.) ®Assessor recommends denial for the following reason(s): L al J I, r\ Assessor a o eputy Assessors Sig 15-OPT-AR No.92066/11 lZ SAFEWAYINC. `�� 5918 STONERIOGE MALL ROAD • PLEASANTON,GA 91688-3426 January 24,2014 RE: Appointment of Agent Safeway,Inc. To Whom It May Concern: Please be advised that the firm of Assessment Technologies,Ltd.,("ATLTD")has been retained and granted power of attorney to represent the interests of the entity Safeway,Inc.with respect to all property tax issues and matters regarding all business personal property accounts with your office, including but not limited to abatements and appeals for 2011,2012 and/or 2013. Communications related to the appeals process should be mailed to: Assessment Technologies,Ltd. 121 Interval*,Suite 308 San Antonio, TX 78216 Attn:Safeway,Inc.Account Manager "Thank you for your assistance in this matter. If you should have any questions or concerns please contact Heather Chambless, Account Manager at 1210) 222- 1221 ur by email at h1 hamblessgatechltd.corn. sincerely, Donn Matsuzakl Asst. Tax Manager SEE ATTACHED CALIFORNIA NOTARIAL CERTIFICATE �. Recycled %el Paper CALIFORNIA ALL-PURPOSE • CERTIFICATE OF ACKNOWLEDGMENT State of California • • County of Contra Costa • •On tith, ii r off: before me, ea YOWL.. I hut.Shrl • Notary Public (Here insert name and title of the officer) • personally appeared n ( 0k SAAta l.t e who proved to me on the,basis of satisfactory evidence to be the person whose name : Ore subscribed to . the within instrument and acknowledged to me that l he/hey executed the same i Gill t er/their authorized capacity(a9),and that b3'herftheir signature($'on the instrument the persoafa,or the entity upon behalf of - which the person)acted,executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct • �.:+. BACON THURSTON • ;7 ..,. - Commission•2037636, WITIILESS my hand and official --i4_ seal. r+"{ "• t� Notary Public-Californianyt �c'r'iT% Contra Costs County Comm.E Irea 18 2017 SS'NaryCI ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM Any acbrowledaneent comp6wd In Califbnda anal contain verbiage exactly as DESCRIPTION OF THE ATTACHED DOCUMENT , appears above in the notary xeedon or a sepame acbawledgnwn form gnat be 1121/411101 nnn ',,,�,_. ^�,.y propaiy completed and flinched to that document The.only exception Is if a '1101•"r•�+` 1 i�a a„+ docanent is to he recorded*reside elC,alifomla 1r'melt(Manes,any chernathe (title or description tdettae luoeuapp'y�) acknowledgment verbiage as may be printed on teach a document so long as the V verbiage does not require the notary to do something that I,illegal Jbr a notary in California An terdfying the authorted capacity of the sips,).Please cheek the (Thin or description of attached document continued) document caydlyfarproper nolarial warding and coach Misfires(impairedNumber of Pages Z _ Document Date 1/c7f V 1 i q • State and County uito mmtm must be the State and County whets the document CIr1C.IsaL)1 sig er(s)personally appeared betbte the notary public for eehgMedgment '}'il l S • Date of notio cation must be the date that the sigaet(e)personally appeared which U must also be the aama date the aclmowledgmeot is completed. • (Additional Information) • The notary public must pint hies or her num as it appear'within his or her • commission followed by a comma and then your title(marry public). • Print the names) of document signer®Who immorally appeal at the time of nahriabon CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural firms by crossing off Incorrect forms(Le. hHshe/tba r-Is/are)or circling the correct forms,Faihtre to Individual(s) correctly indicate this Information may lead to rejection of document recording. O Corporate Officer • the notary seal impression must be clear and photographically reproducible. Impression must not Cover text or lines If seal impression smudges,re-seal if a (Title) ftdfr ant area pennib,otherwise complete a differed acbmwledgment form ❑ Partner(s) 0 Attorney-in-Fact O Trustee(s) ❑ Other Signature of the notary public must match the signature on files with the office of • the county clerk. Additional information is not required but ensure could help to ene this Is not misused or attached to a different document •t• Indicate title or type of attached document,number of pages and data •h Indicate the capacity claimed by the signer.If the claimed capacity is a corporate officer,indicate the title(La CEO,CFO,Secretary). • Securely attach this document to the signed document 2008 Version CAPA v1110.07800-873-9865 www.NalaryCtassescom L — --- --- —_� CLERK TO THE BOARD 1861 PHONE: (970) 336-7215, Ext. 5226 FAX (970) 352 0242 1150 O STREET P.O. BOX 758 GREELEY, COLORADO 80632 COUNTY RECEIVED SY JUL 1 4 7014 July 9, 2014 ASSESSMENT TECHNOLOGIES Safeway, Inc. 1371 Oakland Blvd Suite #200 Walnut Creek, CA 94596 RE: SCHEDULE NUMBER: See Attached List Dear Property Owner: On June 9, 2014, the Board of Weld County Commissioners considered your petition for abatement or refund of taxes and denied same. Pursuant to Section 39-2-125(f), C.R.S., 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: 303-866-5880 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/index.htm Very truly yours, 9 n Rafaela A. Martinez —> Deputy Clerk to the Board cc: Assessor RM/eg • • 2011 AND 2012 PETITION FOR ABATEMENT-SAFEWAY, INC PAGE 2 List of Schedule/Parcels: Owner Name County Schedule/Parcel Property Address Safeway Weld CO P0004635 1122 Ave Greeley Safeway Weld CO P2408703 1300 Dexter St. Ft. Lupton Safeway Weld CO P1809301 1535 Main St. Safeway Weld CO P1962001 1535 Main St. Safeway Weld CO P2027402 8134 14 Cr. Road Safeway Weld CO P2722504 4548 Centerplace Dr. Safeway Weld CO P3012005 4632 Centerplace Dr. Safeway Weld CO P0004634 3526 W. 10th St. Safeway Weld CO P2027302 8206 13 Cr. Road RESOLUTION RE: ACTION OF THE BOARD CONCERNING PETITION FOR ABATEMENT OR REFUND OF TAXES - SAFEWAY, INC. (9 PARCELS) 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 9th day of June, 2014, at which meeting there were present the following members: Acting Chair Pro-tern Mike Freeman, and Commissioners Sean P. Conway, and William F. Garcia, with Commissioners Doug Rademacher and Barbara Kirkmeyer excused. 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, Christopher Woodruff, being present, and taxpayer, Safeway, Inc., not being present, and WHEREAS, the Board of County Commissioners has carefully considered the attached petitions for 9 parcels, 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. CORRECTION PARCEL TO ASSESSED ABATEMENT TAX NUMBER VALUATION OR REFUND YEAR P0004635 $0.00 $0.00 2011/2012 P2408703 $0.00 $0.00 2011/2012 P1809301 $0.00 $0.00 2011/2012 P19620O1 $0.00 $0.00 2011/2012 P2027402 $0.00 $0.00 2011/2012 P2722504 $0.00 $0.00 2011/2012 P3012005 $0.00 $0.00 2011/2012 P0004634 $0.00 $0.00 2011/2012 P2027302 $0.00 $0.00 2011/2012 2014-1683 AS0087 TAX ABATEMENT PETITION - SAFEWAY, INC. (9 PARCELS) PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 9th day of June, A.D., 2014. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST:ditto) adoEXCUSED •� Douglas Rademacher, Chair Weld County Clerk to the Board EXCUSED Barbara Kirkmeyer, Pro-Tern BY: QInn Da, CL, y Q _ D y Clerk to the Board Sean P. Conway APPRO AS a ems: 144-tRA„ ( Mike Fret a. ! ting Chair Pro-Tem dunty ttorney jiui �,t'.t ^' liam F. Garcia „1..�� Date of signature: 7-8- '4 . uNie 2014-1683 A S0087 • +�m�®ta�tll/Y/y�lq/1N• . A7E7f II III II 111111111 �• 9 t-17:50nal-P(*P4Ini•—fs/...-...... ' .02 iR $ 07.61°- 0002011813 JUL 11 201 I tKw/ ."�<� MAREDFROMZIPCODE 3O831 7004 2890 0003 5708 9653 CLERK TO THE BOARD 1861. 1150 O STREET PO BOX 758 r�� R GREELEY CO 80632 StV ATTN: SAFEWAY, INC.ACCOUNT MANAGER ASSESSMENT TECHNOLOGIES,LTD. 121 INTERPARK SUITE#308 SAN ANTONIO,TX 78216 . RECENEO gY AO 4 1014- ASSE O OEst G1ES TECHNOLOGIES lililini� l ll' hl�� ihlli'',I,! �"m 118!;!.8 !I�i PETITION TO STATE BOARD OF ASSESSMENT APPEALS For Office Use Only 1313 Sherman Street, Room 315 Phone: (303)864-7710 Denver, Colorado 80203 Fax: (303)864-7719 Docket No. Fee: Y N Check/Credit Card# Date: 8/8/2014 P F r Property Owner: Safeway, Inc. Subject Property: 8134 14 Cr. Road Firestone Street Address City Schedule Number(s): P2027402 Attach separate sheet if necessary Appeals the decision of the Weld O Board of Equalization s 0 Board of Commissioners Dated: 6/9/2014 County O State Property Tax Administrator This Appeal concerns: ❑Valuation 0 Refund/Abatement O Exemption O State Assessed Tax Year: 2012 The subject property is currently classified as: ❑Agricultural O Commercial ClExempt O Industrial ❑Mixed Use O Natural Resources ❑Oil &Gas iE Personal ❑Possessory O Producing ❑Residential O State Assessed O Vacant Land Interest Mines Actual Value assigned to subject property: $881,486 Petitioner's estimate of value: $352,594 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 ❑Petitioner will appear by telephone 0 Petitioner will be represented by an agent Petitioner is responsible for calling the Board at 303-868-5880 0 Petitioner will be represented by an attorney on the scheduled date and time of hearing(Mountain Time Zone) 0 Petitioner would like to appear by video conference Petitioner must contact the Board at 303-866-5880 at least 20 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$10,000,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 as of August 7,2013.A trust filing a petition as of August 8,2012 may be represented by a trustee,an attomey or an agent. Filing Fee: P 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 Property not assessed at fair market value-including adjustments for obsolenscence. Required attachments to this form: O Assessor's or Property Tax Administrator's Notice of Valuation or Notice of Denial O Decision of County Board of Equalization, County Board of Commissioners or Property Tax Administrator Attachments required under certain circumstances: O A notarized Letter of Authorization if an agent will be representing Petitioner O 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: O Board of Equalization Weld NBoard of Commissioners County O State Property Tax Administrator at the following address: 1150 O Street, PO Box 758, Greeley, Colorado 80632 on 8/8/2014 . 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 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 8/8/2014 Date (One copy may be faxed to the Board but the original and two additional copies must be mailed or hand delivered.) Petitioner's Mailing Address is Required Even if Petitioner Is Represented by An Agent or Attorney (per C.R.S. 39-8-1091 � p Sicrlature of Agent ® or Attorn O Signature of Petitioner James Hausman Safeway, Inc. Printed Name Printed Name 121 Interpark Blvd., Suite 308 1371 Oakland Blvd., #200 Mailing Address Mailing Address San Antonio, Texas 78216 Walnut Creek, CA 94596 City, State, Zip Code City, State, Zip Code Telephone: 210-222-1221 Telephone: 925-938-2244 x300 Daytime number E-Mail: Safeway@atechltd.com E-Mail: donn.matsuzaki@safeway.com Attorney Reg. No.: 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 Web at www.dola.Colorado.gov/baa or may be requested by phone at 303-866-5880. PETITION FOR ABATEMENT OR REFUND OF TAXES /� County: Weld CO Date Received 09043—Dl f (Use Assessor's or Commissioners'Date Stamp) Section I: Petitioner,please complete Section I only. Date: 12/23/2013 Month Day Year Petitioners Name: Safeway Inc Petitioner's Mailing Address: 1371 OAKLAND BLVD 200 WALNUT CREEK CA 94596 City or Town State Zip Code SCHEDULE OR PARCEL NUMBER(S) PROPERTY ADDRESS OR LEGAL DESCRIPTION OF PROPERTY P2027402 8134 14 Cr. RD s r. above requests an o abatement or refund the appropriate taxes and state axe e, the above property for property tax year(s) 2011 and 2012 are incorre g a describe why the taxes have been levied erroneously or illegally,whether due o errdnedus valuation,irregu arity in levying,clerical pgp�,prnveptaivation. Attach additional sheets if necessary.) 1�9 Property not as R1ii&EGvi 411e-including adjustments for obsolescence f EC 3 1 2013 MAY 0 9 2074 ,;VELr / ,-_,,..?L:.6-' ,-k6L,SSOR GPflL :'Y COLORADO O COMMISSIIONERS Petitioner's estimate of value: E 90,090 (2011 )and §352,594 (2012 ) Value Year 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. Daytime Phone Number f ) petit ner's ignature/ --77 By /_ 1J I Daytime Phone Number f2I0) Z,ZZ ( Z.L ` Agent's Signature* '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 pan,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: Assessor's Recommendation (For Assessors Use Only) Tax Year 2O( I Tax Year Z0/ (.— (n� Actual ease Tim sii Assessed Tax d Original qt.;)2 c Zta) 1LD Q 1 0(o-at.N' 8,51196(p liaSS,G3o $ 25,-7941._D Corrects? 41-1S'_. l a� '� Zbe�,(�ZO ?la __ I it-ff�� $2-SS, (0.30 _ZS(�Xf/�f•G ❑Assessor recommends approval as outlined above. If the request 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)(a)(I)(D),C.R.S. Tax year. Protest? O No 0 Yes (If a protest was filed,please attach a copy of the NOD.) Tax year: Protest? ❑No 0 Yes (If a protest was filed,please attach a copy of the NOD.) Assessor recommends denial for the following reason(s): Assessor 5 o eputy Assessors Sig 15-DPT-AR No.920-66/11 I SAFEWAYINC. 5918 STONERIOGE MALL ROAD PLEASANTON.CA 946963229 January 24,2014 RE: Appointment of Agent Safeway,Inc. To Whom It May Concern: Please be advised that the firm of Assessment Technologies, Ltd.,("ATLTD")has been retained and granted power of attorney to represent the interests of the entity Safeway,Inc.with respect to all property tax issues and matters regarding all business personal property accounts with your office, including but not limited to abatements and appeals for 2011,2012 and/or 2013. Communications related to the appeals process should be mailed to: Assessment Technologies,Ltd 121 Interpark,Suite 308 San Antonio, TX 78216 Attn:Safeway,Inc.Account Manager 'thank you for your assistance in this matter. If you should have any questions or concerns please contact [leather Charnhless, Account Manager at (210) 222. 1221 ur by email at hchamblesstibatechltd.com. Sincerely, Donn Matsuzakl Asst. Tax Manager SEE ATTACHED CALIFORNIA NOTARIAL CERTIFICATE �. Recycled IS Paper CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT i State of California I' I, • County of Contra Costa II I On Feb. III 07614 before me, '3roolL Ihursten � Notary Public pi ' � (Here insert name and title of the officer) II � personally appeared Thew ► (nL4Sutot,t.1 !- • I • who proved to me on the,basis of satisfactory evidence to be the person whose name : are subscribed to the within instrument and aclmowledged to me thattthe/they executed the same i 6 terhheir authorized capacity,and that beitheritheir signaturecv'on the instrument the personfa'J, or the entity upon behalf of • I which the personfjt!)acted,executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct BROOK THURSTON • i, 01!1?,. Commission 9 2037636 I WI S my hand and official seal. <r< .} Notary Public-California II o • I t -i!i% • Contra Costa County t j Comm.Ex Ira 16 2017(14 Sr Notary + • + ADDITIONAL OPTIONAL INFORMATION • INSTRUCTIONS FOR COMPLETING THIS FORM ! I DESCRIPTION OF TAE ATTACHED DOCUMENT Any ackwwledgmens completed a CaliJbrnia met contain exactly as appears above be the notary section or a separate nchwwled:mem form miser be i alt ��1�� properly completed and attached to that doeewwne fie.only caption is {f a T�;;;1--��v�{r��+A1/ *s..t l l cat thane is to be recorded outride of aliformta la such instances.any ahmtwtne ' (Title or desmiptiun ofemac ) acbwwltdgment verbiage as may be printed on srrlr a document so long as the l:; verbiage does not require the notary to do something that is illegal fbr a notary in California(he-cemfyag the amhorPed apathy of the signer).Please check the 'i (Tide or descrpdon of attached document continued) document rmghdyfar proper rrotorfa7 wording and ameh()Waneperegaired Number of Pages Document Date I/act t • State and County information must be the State end County where the document , IICIIILit siper(s)personally appeared before the notary public for acknowledgment. . ( •Hits pat ) • Date of natarfratian taut be the date that the sigom(e)pmorrdy appeared which pat) must also be the sans data the aclmmvledpment is completed. • (Additional Information) • The notary public mart paint his or her name as it appear within his or her • commission followed bye comma and them your tide(notary nubile). • Print the name(s)of document signers)aEo panorelly appestat the time of notarization CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singula or plural forms by crossing off incorrect forms(i.e. Individual(a) h✓shatheyr Is fan)or circling the coned forms,Failure to comedy indicate this fntemuNon may lead to rejection of doc ment recording. ❑ Corporate Officer • The notary seal impresion must be clear and photographically reproducible. i Mprenion must not cover text or lines If seal Impression smudges,re-seal if■ I (Title) sufficient area permits,otherwise complete a differed acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the Go°ry cleric I ❑ Attorney-in-Feet Additional information is not required but could help to ensure this ❑ Trustee(b) acknowledgment Is not misused or attached toe diferent document • ❑ Other -. Indicate title or type of attached document,number of pages and date. • • Indicate the capacity claimed by the signut.If the claimed capacity is a corporate officer,indicate the title(ii.CEO,CEO,Secretary). • Securely attach this document to the signed document ;I 2008 Venion CAPA v12.10.07 800-873.9865 www.NotaryCleues.com __- CLERK TO THE BOARD jage PHONE: (970) 336-7215, Ext. 5226 FAX: (970) 352-0242 1150 O STREET \.+861 " P.O. BOX 758 GREELEY, COLORADO 80632 COUNTY RECEIVED BY JUL 1 4 2014 July 9, 2014 ASSESSMENT TECHNOLOGIES Safeway, Inc. 1371 Oakland Blvd Suite #200 Walnut Creek, CA 94596 RE: SCHEDULE NUMBER: See Attached List Dear Property Owner: On June 9, 2014, the Board of Weld County Commissioners considered your petition for abatement or refund of taxes and denied same. Pursuant to Section 39-2-125(f), C.R.S., 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: 303-866-5880 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/index.htm Very truly yours, rAatp-da. a .AxiIKL, Rafaela A. Martinez Deputy Clerk to the Board cc: Assessor RM/eg 2011 AND 2012 PETITION FOR ABATEMENT-SAFEWAY, INC PAGE 2 List of Schedule/Parcels: Owner Name County Schedule/Parcel Property Address Safeway Weld CO P0004635 1122 Ave Greeley Safeway Weld CO P2408703 1300 Dexter St. Ft. Lupton Safeway Weld CO P1809301 1535 Main St. Safeway Weld CO P1962001 1535 Main St. Safeway Weld CO P2027402 8134 14 Cr. Road Safeway Weld CO P2722504 4548 Centerplace Dr. Safeway Weld CO P3012005 4632 Centerplace Dr. Safeway Weld CO P0004634 3526 W. 10th St. Safeway Weld CO P2027302 8206 13 Cr. Road RESOLUTION RE: ACTION OF THE BOARD CONCERNING PETITION FOR ABATEMENT OR REFUND OF TAXES - SAFEWAY, INC. (9 PARCELS) 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 9th day of June, 2014, at which meeting there were present the following members: Acting Chair Pro-tern Mike Freeman, and Commissioners Sean P. Conway, and William F. Garcia, with Commissioners Doug Rademacher and Barbara Kirkmeyer excused. 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, Christopher Woodruff, being present, and taxpayer, Safeway, Inc., not being present, and WHEREAS, the Board of County Commissioners has carefully considered the attached petitions for 9 parcels, 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. CORRECTION PARCEL TO ASSESSED ABATEMENT TAX NUMBER VALUATION OR REFUND YEAR P0004635 $0.00 $0.00 2011/2012 P2408703 $0.00 $0.00 2011/2012 P1809301 $0.00 $0.00 2011/2012 P1962001 $0.00 $0.00 2011/2012 P2027402 $0.00 $0.00 2011/2012 P2722504 $0.00 $0.00 2011/2012 P3012005 $0.00 $0.00 2011/2012 P0004634 $0.00 $0.00 2011/2012 P2027302 $0.00 $0.00 2011/2012 2014-1683 AS0087 TAX ABATEMENT PETITION- SAFEWAY, INC. (9 PARCELS) PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 9th day of June, A.D., 2014. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: !� yI EXCUSED �/ Douglas Rademacher, Chair Weld County Clerk to the Board EXCUSED Barbara Kirkmeyer, Pro-Tern D (Sy Clerk to the Board __ P Sean P. Conway APPRs I. . AS a ems: inna '1p� Mike Fre= a. ting Chair Pro-Tern ounty ttorney f .r►1: i36i f .•;:•. �^ liam F. Garcia Date of signature: 1-S- • '• �` `ate 2014-1683 AS0087 f r�e•a��lfl Ill'?i ji:II i'�'18+ III 111111 111111 .��• �vx'. 02 IR $ 07.81r_ 0002011513 JUL 11 201 4 7004 2890 0003 5708 9653 sue: ."<� MAILED FROM ZIP CODE 90831 ,, CLERK TO THE BOARD °fi' 1150 O STREET PO BOX 758 GREELEY CO 80632 COS TY ATTN: SAFEWAY, INC.ACCOUNT MANAGER ASSESSMENT TECHNOLOGIES,LTD. 121 INTERPARK SUITE#308 SAN ANTONIO,TX 78216 RECEIVED BY At 141014 ASSESSMENT TECHNOLOGIES Win' I'III hll i' Ili'il,l n"Ihi;' ^'ii PETITION TO STATE BOARD OF ASSESSMENT APPEALS For Office Use Only 1313 Sherman Street, Room 315 Phone: (303)864-7710 Denver, Colorado 80203 Fax: (303)864-7719 Docket No. Fee: Y N Check/Credit Card# Date: 8/8/2014 P F Property Owner: Safeway, Inc. Subject Property: 1535 Main Street Windsor Street Address City Schedule Number(s): P1809301 Attach separate sheet if necessary Appeals the decision of the Weld El Board of Equalization Board of Commissioners Dated: 6/9/2014 County ❑State Property Tax Administrator This Appeal concerns: :❑Valuation 0 Refund/Abatement O Exemption O State Assessed Tax Year: 2011 The subject property is currently classified as: El Agricultural ❑Commercial ❑Exempt O Industrial t7MixedUse ❑Natural Resources ❑Oil &Gas ®Personal ElPossessory O Producing ❑Residential ❑State Assessed ❑Vacant Land Interest Mines Actual Value assigned to subject property: $964,261 Petitioners estimate of value: $385,704 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 DPetitioner will appear by telephone 0 Petitioner will be represented by an agent Petitioner is responsible for calling the Board at 303-866-5880 0 Petitioner will be represented by an attorney on the scheduled date and time of hearing(Mountain Time Zone) 0 Petitioner would like to appear by video conference Petitioner must contact the Board at 303-866-5880 at least 20 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$10,000,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 as of August 7,2013.A trust filing a petition as of August 8,2012 may be represented by a trustee,an attorney or an agent. Filing Fee: P 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 Property not assessed at fair market value-including adjustments for obsolenscence. • Required attachments to this form: 0 Assessor's or Property Tax Administrator's Notice of Valuation or Notice of Denial O Decision of County Board of Equalization, County Board of Commissioners or Property Tax Administrator Attachments required under certain circumstances: O 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,faxed or hand delivered to: 0 Board of Equalization Weld o Board of Commissioners county 0 State Property Tax Administrator at the following address: 1150 O Street, PO Box 758, Greeley, Colorado 80632 on 8/8/2014 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 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 8/8/2014 Date (One copy may be faxed to the Board but the original and two additional copies must be mailed or hand delivered.) Petitioner's Mailing Address is Required Even if Petitioner is Represented by An Agent or Attorney (per C.R.S. 39-8-109 c 1.1\ce -1-art N10,11 Sign ture of Agent 0 or Attorney O Signature of Petitioner James Hausman Safeway, Inc. Printed Name Printed Name 121 Interpark Blvd., Suite 308 1371 Oakland Blvd., #200 Mailing Address Mailing Address San Antonio, Texas 78216 Walnut Creek, CA 94596 City, State,Zip Code City, State,Zip Code Telephone: 210-222-1221 Telephone: 925-938-2244 x300 Daytime number E-Mail: Safeway@atechltd.com E-Mail: donn.matsuzaki@safeway.com Attorney Reg. No.: 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 Web at www.dola.Colorado.gov/baa or may be requested by phone at 303-866-5880. PETITION FOR ABATEMENT OR REFUND OF TAXES/� 22 County: Weld CO Date Received (.90/3"-067/�J"'//��,�,,w� (Use Assessor's or Commissioners'Date Stamp) Section I: Petitioner, please complete Section I only. Date: 12/23/2013 Month Day Year Petitioner's Name: Safeway Inc Petitioner's Mailing Address: 1371 OAKLAND BLVD 200 WALNUT CREEK CA 94596 City or Town State Zip Code SCHEDULE OR PARCEL NUMBER(S) • PROPERTY ADDRESS OR LEGAL DESCRIPTION OF PROPERTY P1809301 1535 Main St. Petitioner requests an abatement or refund of the appropriate taxes and states that the taxes assessed against the above property for property tax year(s) 2011 and 2012 are in r vii Briefly describe why the taxes have been levied erroneously or illegally,wheth w ularity in levying,clerical error or overvaluation. Attach additional sheets if neces Property not assessed at fair market value-including adjustments for obsolescence AFCE/veil 'DEC 31 2013 WELD COUNTY .,MStr:SSOR. MAY O ?7,, GRFELEY, CO_&ADO ,i Petits yrbat value: y 385,704 20( 11 )and $354'719 (2012 ) �[+�S',VOIJN71 Value Year Value Year NA'to es I declare,under penalty of p.4 I:W.4 in the second degree,that this petition,together with any accompanying exhibits or statements,has been prepared or examined by me,and to the best of my knowledge, information and belief,is true,correct,and complete. 1 Daytime Phone Number j ) 1� Petition s Signatu By /V Ui{,i', ,C��/�.�"' Daytime Phone Number J ZIO) Z ZZ Z.Z Agent's Signature' `Letter of agency must be attached when petition is submitted by an agent. If the Board of County Commissioners,pursuant to§39-10-114(1),C.R.S.,or the Property Tax Administrator,pursuant to§39-2-116,C.R.S., denies the petition for refund or abatement of taxes in whole or in part,the Petitioner may appeal to the Board of Assessment Appeals pursuant to the provisions of§39-2-125,C.R.S.,within thirty days of the entry of any such decision,§39-10-114.5(1).C.R.S. Section II: Assessor's Recommendation (For Assessor's Use Only)Tax Year 213I Tax Year/,.�-`-'}. IZ �c Actual As U Tax Actual Assess IPA odginal]/co-1, zip I 4! 9'74 it+D -/Qr-d7/ryo,91 Ii+'.�SB1c')-Y-f-] IF e_5 7,i-io 4 (,t11 ( s .(j 1 � y Comctedi`'IU_II �.(0, �/(rl(D�17 -IDv21I�o&I 116 ' 1/49 "in 1 ita�)R11176) -% i-( �J ea- b3 Abate/Refund V N (f" 7" I O Assessor recommends approval as outlined above. If the request for abatement is based upon the grounds of overvaluation.no abatement or refund of taxes shall be made if an objection or protest to such valuation has been filed and a Notice of Determination has been mailed to the taxpayer,§39-10-I 14(1)(a)(i)(D),C.R.S. Tax year: Protest? O No D Yes (if a protest was flied,please attach a copy of the NOD.) Tax year: Protest? 0 No ❑Yes (If a protest was filed,please attach a copy of the NOD.) Assessor recommends denial for the foll�owing��reason(s): V aJ --Ct L°�I�✓{'1)iC1 -1 ('l.C' , "" .1-1)!x rQ-J C pro C Aaj--n . -sso - or r`puty .C'--ssor's gnat e 15-DPT-AR No.920-66/11 • SIAFEWAYINc. 5915$TONERIDGE MALL ROAD • PLEASANTON.CA 94sea-3729 January 24, 2014 RE: Appointment of Agent Safeway,Inc. • To Whom It May Concern: Please be advised that the firm of Assessment Technologies, Ltd.,("ATLTD")has been retained and granted power of attorney to represent the interests of the entity Safeway,Inc.with respect to all property tax issues and matters regarding all business personal property accounts with your office, including but not limited to abatements and appeals for 2011,2012 and/or 2013. Communications related to the appeals process should be mailed to: Assessment Technologies,Ltd 121 Interpark,Suite 308 San Antonio, TX 70216 Attn:Safeway,Inc.Account Manager Thank you tar your assistance in this matter. If you should have any questions or concerns please contact Heather Chambless, Account Manager at (210) 222- 1221 or by email at hchamblessOutechltd.com Sincerely,y„i9j&____Donn Matsuzaki Asst. Tax Manager SEE ATTACHED CALIFORNIA NOTARIAL CERTIFICATE •• Recycled tw Paper I . 1 CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT • State of California • • County of Contra Costa • On MI. I1 a 0961 before me, '3Y001(... l hur Min Notary Public (Here insert name and title of the officer) • • personally appeared n rn nk$U"-Q.t.4 • who proved to me on tho basis of satisfactory evidence to be the person1whose name - Ore subscribed to • the within instrument and acknowledged to me thate(she/they executed the same i o er/iheir authorized capacity 9),.and that b 'her/their signature(f an the instrument the person 4f, or the entity upon behalf of - which the person)acted,executed the instrument • • I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. • ' .+, Hook twHSTON • sl 't-. Commission/2037638 pump-SS my hand and official seat. <:rte*:, ,; Notary Public-California I • ; 'i+f Contra Costa County r• SL o r, 88a Comm.I:seires Ana 18`2017 ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR.COMPLETING THIS FORM Any acknaekedmnem completed rn Calttbsnla must contain verbiage acetify as DESCRIPTION OF THE ATTACHED DOCUMENT appeal above in the rotary section or a separate ackrmehdgnwmfonn ante be ,�( II Propsrt, complete and attadud to that dxummf The.only rserptlmt 4 if a Ttl�At vt 4 1,, + acknowledgment k tool; o ncarded s may eprinted o fn list document ales ong s he ll rile or d on of ante e'otouroc ypWTj s es tutee as may be printed on list a document so long a e the (Tide 'pm V verbiage does not nquln the notary to do something that 1,Ifigal far a notary to California(Lt errtfybtg the amhated capacity of the signal.Please cheek the (Tide of lambed daaoneMeotdinued) document eaelldlyforpropernotarial wordhey and attach daefomt ffrequired Number of Pager Z Document Date (/era jig • Stab and County information must be the Stets cad County when the document ice, t�9 } signer®personally appeared before the notary public for eclmmdedgment • 'B11 S pap) • mate ottwta¢ation smut be the date that the signer(e)vermaally appeared which• U must else be the sane dab the acknowledgment is completed. • (Additional information) • The notary public must print his or her wee as it appease within his or her • commission followed by a comma and then you r tide(notary public). • Print the name(s)of document signer(,)wen personally sppese et the time of noarintion CAPACITY CLAIMED BY THE SIGNER • Indicate The correct singular or plural forms by crossing off Incorrect forms(i.e. Individual(s) lalmaAbbeYr is fare)or circling the correct forms.Failure to correctly Mediate this infinnudion may Ind to rejection of document recording. ❑ Corporate Officer • The notary seal impretioo moot be deer and photographially.reproducible. Imprenbn must not cover text or lino If seal impression smudge;re-seal if a (Title) sufficient um permits,otherwise complete a daunt scbmwledgmeat foam. ❑ Partner(,) • Signature of the notary public must match the signature on file with the office of the county clerk 0 Attorney-in-Fact 4 Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment Ls not misused or attached to a different document O Other •> Indicate title or type of attached document,number of pages end date. •' Indicate the capacity claimed by the signer.If the claimed capacity is• • corporate officer,indicate the title(ie.CEO,CFO,Secretary). • Securely attach this document to the signed document 2008 Version CAPA v12.10.07 800-873.9865 www.NotaryClasses.com • CLERK TO THE BOARD PHONE: (970) 336-7215, Ext. 5226 1861 FAX: (970) 352-0242 1150 O STREET T -,� P.O. BOX 758 GREELEY, COLORADO 80632 vC 0 U NT Y RECEIVED BY JUL 1 4 2014 July 9, 2014 ASSESSMENT TECHNOLOGIES Safeway, Inc. 1371 Oakland Blvd Suite #200 Walnut Creek, CA 94596 RE: SCHEDULE NUMBER: See Attached List Dear Property Owner: On June 9, 2014, the Board of Weld County Commissioners considered your petition for abatement or refund of taxes and denied same. Pursuant to Section 39-2-125(f), C.R.S., 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: 303-866-5880 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/index.htm Very truly yours, r--46(t o Q.0. a .. -E 0).1.4s,„ tse, Rafaela A. Martinez —� Deputy Clerk to the Board cc: Assessor RM/eg 2011 AND 2012 PETITION FOR ABATEMENT-SAFEWAY, INC PAGE 2 List of Schedule/Parcels: Owner Name County Schedule/Parcel Property Address Safeway Weld CO P0004635 1122 Ave Greeley Safeway Weld CO P2408703 1300 Dexter St. Ft. Lupton Safeway Weld CO P1809301 1535 Main St. Safeway Weld CO P1962001 1535 Main St. Safeway Weld CO P2027402 8134 14 Cr. Road Safeway Weld CO P2722504 4548 Centerplace Dr. Safeway Weld CO P3012005 4632 Centerplace Dr. Safeway Weld CO P0004634 3526 W. 10th St. Safeway Weld CO P2027302 8206 13 Cr. Road RESOLUTION RE: ACTION OF THE BOARD CONCERNING PETITION FOR ABATEMENT OR REFUND OF TAXES - SAFEWAY, INC. (9 PARCELS) 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 9th day of June, 2014, at which meeting there were present the following members: Acting Chair Pro-tem Mike Freeman, and Commissioners Sean P. Conway, and William F. Garcia, with Commissioners Doug Rademacher and Barbara Kirkmeyer excused. 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, Christopher Woodruff, being present, and taxpayer, Safeway, Inc., not being present, and WHEREAS, the Board of County Commissioners has carefully considered the attached petitions for 9 parcels, 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. CORRECTION PARCEL TO ASSESSED ABATEMENT TAX NUMBER VALUATION OR REFUND YEAR P0004635 $0.00 $0.00 2011/2012 P2408703 $0.00 $0.00 2011/2012 P1809301 $0.00 $0.00 2011/2012 P19620O1 $0.00 $0.00 2011/2012 P2027402 $0.00 $0.00 2011/2012 P2722504 $0.00 $0.00 2011/2012 P3012005 $0.00 $0.00 2011/2012 P0004634 $0.00 $0.00 2011/2012 P2027302 $0.00 $0.00 2011/2012 2014-1683 A30087 TAX ABATEMENT PETITION - SAFEWAY, INC. (9 PARCELS) PAGE 2 The above o e and foregoing Resolution was, on motion duly made and seconded, adopted P by the following vote on the 9th day of June, A.D., 2014. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: C� EXCUSED �/ •� Douglas Rademacher, Chair Weld County Clerk to the Board EXCUSED Barbara Kirkmeyer, Pro-Tern atn to BY. D djty Clerk to the Board P C^ Sean P. Conway APPR= ' . AS : ,f2 Mike Fre= a. ting Chair Pro-Tern dunty ttorney ► �� s ji�i .� �'^ liam F. Garcia Date of signature: 7-8- now. �. 2014-1683 AS0087 II III VIII III IIIIIIIIII , st• OZ IR X07.61 e-,-. JULt l 2011 MAILED FRONOMZIPOOOE 00837 704 2890 0003 5708 9653 000201 CLERK TO THE BOARD set 1150 O STREET P., ►1 - PO BOX 758 r� R GREELEY CO 80632 cpj- TY ATTN: SAFEWAY, INC.ACCOUNT MANAGER ASSESSMENT TECHNOLOGIES,LTD. 121 INTERPARK SUITE#308 SAN ANTONIO,TX 78216 RECENEO BY, AO.141014 As$E OLOGIEs TECHN Will I'II' Id ^ 411pilil HI, I !i PETITION TO STATE BOARD OF ASSESSMENT APPEALS For Office Use Only 1313 Sherman Street, Room 315 Phone: (303)864-7710 Denver, Colorado 80203 Fax: (303) 864-7719 Docket No. Fee: Y N Check/Credit Card it Date: 8/8/2014 LI Property Owner Safeway, Inc. Subject Property: 1535 Main Street Windsor Street Address City Schedule Number(s): P1809301 Attach separate sheet if necessary the decision of the Weld ['Board of Equalization Appeals0 Board of Commissioners Dated: 6/9/2014 County ['State Property Tax Administrator This Appeal concerns: °Valuation 0 Refund/Abatement O Exemption ❑State Assessed Tax Year: 2012 The subject property Is currently classified as: O Agricultural ❑Commercial ['Exempt O Industrial ❑Mixed Use ❑Natural Resources ❑Oil &Gas 2 Personal ['Possessory O Producing °Residential 0State Assessed O Vacant Land Interest Mines Actual Value assigned to subject property: $886,797 Petitioners estimate of value: $354,719 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 ❑Petitioner will appear by telephone 0 Petitioner will be represented by an agent Petitioner is responsible for calling the Board at 303-866-5880 0 Petitioner will be represented by an attorney on the scheduled date and time of hearing(Mountain Time Zone) 0 Petitioner would like to appear by video conference Petitioner must contact the Board at 303-866-5880 at least 20 days in advance of the scheduled tearing 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$10,000,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 as of August 7,2013.A trust filing a petition as of August 8,2012 may be represented by a trustee,an attorney or an agent. Filing Fee: El 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). O $ 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). RI $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 Property not assessed at fair market value-including adjustments for obsolenscence. Required attachments to this form: 0 Assessor's or Property Tax Administrator's Notice of Valuation or Notice of Denial 0 Decision of County Board of Equalization, County Board of Commissioners or Property Tax Administrator Attachments required under certain circumstances: 0 A notarized Letter of Authorization If an agent will be representing Petitioner 0 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: O Board of Equalization Weld O Board of Commissioners county O State Property Tax Administrator at the following address: 1150 O Street, PO Box 758, Greeley, Colorado 80632 on 8/8/2014 • 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 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 8/8/2014 Date (One copy may be faxed to the Board but the original and two additional copies must be mailed or hand delivered.) Petitioner's Mailing Address Is Required Even if Petitioner is Represented by An Agent or Attorney (per C.R.S. 39-8-109) " Iih �) illC:� 5/IVtrill Sg ature of Agent ® or Attorney O Signature of Petitioner James Hausman Safeway, Inc. Printed Name Printed Name 121 Interpark Blvd., Suite 308 1371 Oakland Blvd., #200 Mailing Address Mailing Address San Antonio, Texas 78216 Walnut Creek, CA 94596 City, State,Zip Code City, State, Zip Code Telephone: 210-222-1221 Telephone: 925-938-2244 x300 Daytime number E-Mail: Safeway@atechltd.com E-Mail: donn.matsuzaki@safeway.com Attorney Reg. No.: 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 Web at www.dola.Colorado.gov/baa or may be requested by phone at 303-866-5880. • PETITION FOR ABATEMENT OR REFUND OF TAXES 2 w/ County: Weld CO Date Received C.�/..J—WI (Use Assessors or Commissioners'Date Stamp) Section I: Petitioner,please complete Section I only. Date: 12/23/2013 Month Day Year Petitioner's Name: Safeway Inc Petitioner's Mailing Address: 1371 OAKLAND BLVD 200 WALNUT CREEK CA 94596 City or Town Slate Zip Code SCHEDULE OR PARCEL NUMBER(S) PROPERTY ADDRESS OR LEGAL DESCRIPTION OF PROPERTY P1809301 1535 Main St. Petitioner requests an abatement or refund of the appropriate taxes and states that the taxes assessed against the above property for property tax year(s) 2O11 and 2O12 are inrr��ii�� NNNNNN000000wiccc��++ttttgggggg[��eeee Briefly describe why the taxes have been levied erroneously or illegally,whethtrgrbh ularity In levying,clerical error or overvaluation. Attach additional sheets if neces Property not assessed at fair market value-including adjustments for obsolescence IeCE/Vee 'DEC 31 2013 MAY n WELD COUNTY ASSESSOR 9 209 GREELEY. COLOC:ADO ii Petitl (Ue; 385,704 (2011 354,719 2012 �ta,,w $ d�t /SS/O1711p° ss+'�p.T )and S r �O Value Year Value Year I declare,under penalty of p'b �'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. Daytime Phone Number f ) Petitioner's Signetu/J'1 _ i� By .�V�IJ;N� ULi/�� Daytime Phone Number Zit) ZZZ )Zz I Agent's Signature' '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: Assessor's Recommendation (For Assessors Use Only) 21 Tax Year 511 Tax Yeari-" 12' &Le1 As 4 Du Mal ti In original e1lay) Zte I 9 .931i trio -1 a 7i-rifo.cf l 188b1.A 7 'cs 71 17a 4)4, to ail .lc, Corrected(IP1`✓ 'I .7(a1 .ba-}'-1(oyc S27fwo(,( t?'d(c11Qi 91aS7( 17u * .X-IfG co. b3 Abate/Refund V i _g___ V C y O Assessor recommends approval as outlined above. 7 If the request 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 fled and a Notice of Determination has been mailed to the taxpayer,§39-10-114(1)(a)(I)(D),C.R.S. Tax year. Protest? O No ❑Yes (If a protest was filed,please attach a copy of the NOD.) ��T,,,xx a year. Protest? 0 No 0 Yes (If a protest was filed,please attach a copy of the NOD.) Siy Assessor recommends denial for the following reason(s): / V o U>,i-a GYri2-e .1 ct,c'.r��l L ru rQsc� :e.'cwo . csac or puty 1esor's gnat • 15-DPT-AR No.920-66/11 l�J SAFEWAYJNC. i 5918$TONEPIDGE MALL ROAD • PLEASANTON.CA 94.518-3229 January 24,2014 RE: Appointment of Agent Safeway,Inc. To Whom It May Concern: Please be advised that the firm of Assessment Technologies, Ltd.,("ATLTD")has been retained and granted power of attorney to represent the interests of the entity Safeway,Inc.with respect to all property tax issues and matters regarding all business personal property accounts with your office, including but not limited to abatements and appeals for 2011, 2012 and/or 2013. Communications related to the appeals process should be mailed to: Assessment Technologies,Ltd. 121 Interpark,Suite 308 San Antonio, TX 78216 Ann:Safeway,Inc.Account Manager Thank you tar your assistance in this matter. If you should have any questions or concerns please contact Heather Chambless, Account Manager at (210) 222- 1221 ur by email at hthamblesstibatechltd.cotn. Sincerely, Donn Matsuzaki Asst. Tax Manager SEE ATTACHED CALIFORNIA NOTARIAL CERTIFICATE e• Recycled ♦•:Paper CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California • County of Contra Costa • On / 'YDDc h Shin NotaryPublic Feb. I l t o7b l c•f before me, (Here insert name and title of the officer) • personally appeared trynn $119 a e • • who proved to me on the.basis of satisfactory evidence to be the personp whose name Tire subscribed to • the within instrument and acknowledged to me thatesrhetthey executed the same i er/their authorized capacity cot and that br, aherRheir signature()eon the instrument the personf a5,or the entity upon behalf of - which the person )acted,executed the instrument I certify under PENALTY OP PERJURY under the laws of the State of California that the foregoing paragraph. is true and correct. • fiRt3OK THURSTON .4099V_ Commtulan 9 2037636 WIThZESS my hand and official seal. ; 'G Notary Public-California tr'!+J • Conn Coil County Comm.E Ices 78 2017 Si oevy (No • ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM cloy ckrmelidgmem completed to Calybnele mum contain verbiage exactly as DESCRIPTION OF TTY ATTACHED DOCUMENT appears above in the notary action cur a separate tcbwwledpient form must be IN ��1�� y properly coarpleted and armched to that document The.only exception is (1 a 1 a!Tl'YS.Y.r l l doetmw4 to be ncondd oeasWe a f(era omit ft nth fafancej airy alternative (Title or deseripdon of ettc rind ) acb,arrldgment verbiage as may be minted on such a document so long as the verbiage does not reviler the notary to do something that 4 Illegal*notary notary In California(lie.certffymg the arahorted capacity of the signer).Please check the (rite or description ofsnaethed doetonaoteontinued) document caryWJyformope,-notarial wodingardattack tAlsfenn ffrequired Number of Pages Z Document Date I/au 11g • Stele led County information must be the Sate end County where the document CInCludt�tp signer(i)personally append bete the notary public for scknowtedgmmt. -1 +k is s NO • Date of n tat zaCoa matt be the date that the signer(s)i enonally.peeved which • e Q_ must the be the tare date the acknowledgment is completed. (Additional Information) • The notary public must print his or her name as it appears within his or her commission followed by a comma and them your tide(notary politic). • Print the rumors) of document stptet(s)who persorglly appose at the time of • nohriztliaR CAPACITY CLAIMED BY THE SIGNER • indicate the correct'Maybe or plural forms by drawing off Incorrect forms(i.e. Individual(s) le4hdlbtyr is Pore)or circling the correct forms.Fathre to ramect&y indicate this O Corporate Officerinfmmatlon may lead to rejection of document rtwdeng. • The noway seal impmaion must be clan and phoographidly.reproducible. Imprevbn must not cover text or lines.If seal impression smudges,re-seal if a (Title) sut&ieot era pamib,Amelia complete a different scWowldgmeat form. ❑ Partner(s) • Signature of the rotary public must match the signet=on file with the office of the county deck. ❑ Attorney-in-Fact •? Additional intbrmetion is not required O Trustees) acknowledgment is not misused or attached to a different d ensure s document O Other Indicate title or type of attached document,number of pages and data indicate the capacity claimed by the signer.If the claimed capacity is a corporate officer,indicate the title(ie.CEO,CFO,Secretary). • Securely attach this document to the signed document — 2005 Version CAPA v1110.07800-S73-9865 www.NotaryCtasses.com CLERK TO THE BOARD PHONE (970) 336-7215, Ext. 5226 1861 FAX: (970) 352-0242 17 P.O.O STREET P. BOX 758 GREELEY, COLORADO 80632 GO � NTY RECEIVED BY JUL 1 4 2014 July 9, 2014 ASSESSMENT TECHNOLOGIES Safeway, Inc. 1371 Oakland Blvd Suite#200 Walnut Creek, CA 94596 RE: SCHEDULE NUMBER: See Attached List Dear Property Owner: On June 9, 2014, the Board of Weld County Commissioners considered your petition for abatement or refund of taxes and denied same. Pursuant to Section 39-2-125(f), C.R.S., 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: 303-866-5880 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.d of a.state.co.us/baa/i ndex.htm Very ,truly yours, cU(to SpL a A' t1/4.2, Rafaela A. Martinez Deputy Clerk to the Board cc: Assessor RM/eg • • 2011 AND 2012 PETITION FOR ABATEMENT-SAFEWAY, INC PAGE 2 List of Schedule/Parcels: Owner Name County Schedule/Parcel Property Address Safeway Weld CO P0004635 1122 Ave Greeley Safeway Weld CO P2408703 1300 Dexter St. Ft. Lupton Safeway Weld CO P1809301 1535 Main St. Safeway Weld CO P1962001 1535 Main St. Safeway Weld CO P2027402 8134 14 Cr. Road Safeway Weld CO P2722504 4548 Centerplace Dr. Safeway Weld CO P3012005 4632 Centerplace Dr. Safeway Weld CO P0004634 3526 W. 10th St. Safeway Weld CO P2027302 8206 13 Cr. Road RESOLUTION RE: ACTION OF THE BOARD CONCERNING PETITION FOR ABATEMENT OR REFUND OF TAXES - SAFEWAY, INC. (9 PARCELS) 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 9th day of June, 2014, at which meeting there were present the following members: Acting Chair Pro-tem Mike Freeman, and Commissioners Sean P. Conway, and William F. Garcia, with Commissioners Doug Rademacher and Barbara Kirkmeyer excused. 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, Christopher Woodruff, being present, and taxpayer, Safeway, Inc., not being present, and WHEREAS, the Board of County Commissioners has carefully considered the attached petitions for 9 parcels, 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. CORRECTION PARCEL TO ASSESSED ABATEMENT TAX NUMBER VALUATION OR REFUND YEAR P0004635 $0.00 $0.00 2011/2012 P2408703 $0.00 $0.00 2011/2012 P1809301 $0.00 $0.00 2011/2012 P1962001 $0.00 $0.00 2011/2012 P2027402 $0.00 $0.00 2011/2012 P2722504 $0.00 $0.00 2011/2012 P3012005 $0.00 $0.00 2011/2012 P0004634 $0.00 $0.00 2011/2012 P2027302 $0.00 $0.00 2011/2012 2014-1683 AS0087 TAX ABATEMENT PETITION - SAFEWAY, INC. (9 PARCELS) PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 9th day of June, A.D., 2014. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: r,.� EXCUSED ` '� Douglas Rademacher, Chair Weld County Clerk to the Board EXCUSED Barbara Kirkmeyer, Pro-Tern BY: D yCIl rk t he Board 2 Cr Sean P. Conway APPR. r. . AS a ems: � .�i Mike Fre= a t ting Chair Pro-Tem dunty ttorney 44 1361 .�^ liam F. Garcia Date of signature: 1-S-I4 '%+�iAtv 2014-1683 AS0087 �.awyln/i/y117/:1I • II it VIII II I lillil Ii • , Cio ....., YX 02 IR 07.61r `K�� 0 00 20 11 51 3 JUL 11 .011 7004 2890 0003 5708 9653 MARED FROM 73PCODE 30831 CLERK TO THE BOARD Is& Ar 1150 O STREET PO BOX 758 c oN r R GREELEY CO 80632 ATTN: SAFEWAY, INC.ACCOUNT MANAGER - ASSESSMENT TECHNOLOGIES,LTD. 121 INTERPARK SUITE#308 SAN ANTONIO,TX 78216 RECEIVED BY NL 1 4 1014 ABBE TECHNOLOGIES TECHN 'WWII! lli.HI'..i!dli'ij!L..1 ,r 'I!d, ;j ,:,t 1 PETITION TO STATE BOARD OF ASSESSMENT APPEALS For Office Use Only 1313 Sherman Street, Room 315 Phone: (303) 864-7710 Denver, Colorado 80203 Fax: (303) 864-7719 Docket No. Fee: Y N Check/Credit Card S Date: 8/8/2014 c c H Property Owner: Safeway, Inc. Subject Property: 1300 Dexter Street Fort Lupton Street Address City Schedule Number(s): P2408703 Attach separate sheet if necessary Board of Equalization Appeals the decision of the Weld O Board of Commissioners Dated: 6/9/2014 County O State Property Tax Administrator This Appeal concerns: flValuation 0 Refund/Abatement O Exemption ❑State Assessed Tax Year: 2011 The subject property is currently classified as: ❑Agricultural O Commercial °Exempt O Industrial UMixed Use O Natural Resources ❑Oil &Gas 10 Personal ❑Possessory O Producing ❑Residential O State Assessed ❑Vacant Land Interest Mines Actual Value assigned to subject property: $953,176 Petitioner's estimate of value: $381,270 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 DPetitioner will appear by telephone 0 Petitioner will be represented by an agent Petitioner is responsible for calling the Board at 303-866-5880 0 Petitioner will be represented by an attorney on the scheduled date and time of hearing(Mountain Time Zone) 0 Petitioner would like to appear by video conference Petitioner must contact the Board at 303-866-5880 at least 20 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$10,000,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 as of August 7,2013.A trust filing a petition as of August 8,2012 may be represented by a trustee,an attorney or an agent. Filing Fee: C7 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). O $ 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). RI $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 Property not assessed at fair market value-including adjustments for obsolenscence. Required attachments to this form: O Assessor's or Property Tax Administrator's Notice of Valuation or Notice of Denial O Decision of County Board of Equalization, County Board of Commissioners or Property Tax Administrator Attachments required under certain circumstances: O A notarized letter of Authorization if an agent will be representing Petitioner O 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: O Board of Equalization Weld D Board of Commissioners County O State Property Tax Administrator at the following address: 1150 O Street, PO Box 758, Greeley, Colorado 80632 on 8/8/2014 . 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 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 8/8/2014 Date (One copy may be faxed to the Board but the original and two additional copies must be mailed or hand delivered.) Petitioner's Mailing Address Is Required Even if Petitioner is Represented by An Agent or Attorney (per C.R.S. 39-8-109) \11.O-4 foCLL.3 1f_ /7) Sigh'ature of Agent ® or Attorney O Signature of Petitioner James Hausman Safeway, Inc. Printed Name Printed Name 121 Interpark Blvd., Suite 308 1371 Oakland Blvd., #200 Mailing Address Mailing Address San Antonio, Texas 78216 Walnut Creek, CA 94596 City, State, Zip Code City, State, Zip Code Telephone: 210-222-1221 Telephone: 925-938-2244 x300 Daytime number E-Mail: Safeway@atechltd.com E-Mail: donn.matsuzaki@safeway.com Attorney Reg. No.: 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 Web at www.dola.Colorado.gov/baa or may be requested by phone at 303-866-5880. PETITION FOR ABATEMENT OR REFUND OF TAXES �J County: Weld CO Date Received c O/3"O ( t (Use Assessors or Commissioners'Dale Stamp) Section I: Petitioner,please complete Section I only. Date: 12/23/2013 Month Day Year Petitioner's Name: Safeway Inc Petitioner's Mailing Address: 1371 OAKLAND BLVD 200 WALNUT CREEK CA 94596 City or Town Slate Zip Code SCHEDULE OR PARCEL NUMBER(S) PROPERTY ADDRESS OR LEGAL DESCRIPTION OF PROPERTY P2408703 1300 Dexter St.Fort Lupton Petitioner abatement or refund of the appropriate taxes and states that the taxes assessed against the above prope �x ear(s) 2011 and 2012 are incorrect for the following reasons: (Briefly describe why the x a pSt�levied erroneously or illegally,whether due to erro tior itreaularityli levying,clef I error or ove n. Attach additional sheets if necessary.) '�GY"_' .t ytw >.. Property not�fesQe9 af,{Sjr market value-including adjustments for obsolescence f t '-„ !0,4 COM 1 14 f , DEC 31 2013 'vet% WELD Cu,.•;-, P r ti�� COL_._ a_JS�, 381,270 (2011 334,4R Fg1,.IF2012(��iDO Petitioner's estimate of value: 5 )and $ ( ) Value Year 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. Daytime Phone Number 5 ) P Petition r•s Sign tire l 7 By ri L' ,1//�- Daytime Phone Number] IC L2 a 122 J Agent's Signet '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 Properly 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: Assessor's Recommendation (For Assessor's Use Only)Tax Yearr2O II Tax Year9 C(Z" Actual Assessed Tax Actual A Assessed Tax Original C��1y5.3( 1�7w 1� J71lpl4 ?o $2`1134, 1113 iy 3 �J"21; -1)7) 11 -c-,) /1-)15, 1C0 cow...hiQ 3, 17(ee J1a21(Plt-{ZO SI2,fi3:,( 1c1 t31I I.23 1, (-p 1)U -f'') iS , (tU Abate/Refund U/ ( 0 Assessor recommends approval as outlined above. Itt If the request 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-I 14(1)(a)(l)(D),C.R.S. Tax year: Protest? O No ❑Yes (If a protest was filed,please attach a copy of the NOD.) �,Taxyear: Protest? 0 No ❑Yes (If a protest was filed,please attach a copy of the NOD.) ax Assessor recommends denial for the following reason(s): - V a L CULA G>rra-4AM az24 '' d..SC2I hf4.0l J rwocPr . Lf//� sesso^s epXasor's51 ore 15-OPT-AR No.920-66/11 l� SAFE"WAYINc. `-�J 5918 STONERIDGE MALL ROAD • PLEASANTON.CA 94588.3329 January 24,2014 BE: Appointment of Agent Safeway,Inc. To Whom It May Concern: Please be advised that the fine of Assessment Technologies,Ltd.,("ATLTD")has been retained and granted power of attorney to represent the interests of the entity Safeway,Inc.with respect to all property tax issues and matters regarding all business personal property accounts with your office, including but not limited to abatements and appeals for 2011, 2012 and/or 2013. Communications related to the appeals process should be mailed to: Assessment Technologies,Ltd 121 Interpark,Sidle 308 San Antonio, TX 78216 Attn:Safeway,Inc.Account Manager Thank you for your assistance in this matter. If you should have any questions or concerns please contact Heather Chamhless, Account Manager at (210) 222- 1221 or by email at hl hamblesstidatechltd.corn. incerely,ity_azistDonn Matsuzaki Asst. Tax Manager SEE ATTACHED CALIFORNIA NOTARIAL CERTIFICATE se Recycled ' Paper • CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California • • County of Contra Costa On 1h. II t 0704 before me, �vtoli. (hatsten Notary Public (Hen insert name and title of the officer) • personally appeared y► rile sV to , who proved to me on the,basis of satisfactory evidence to be the person s .whose name re subscribed to • the within instrument and acknowledged to me tha a,�sht//they executed the same ilherhheir authorized capacity ,,and that b'herkheir signature(f'on the instrument the personnel or the entity upon behalf of - which the person)acted,executed the instrument. • • I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph • is true and correct • • BROOK THURSTON • S my hand and official spat. a%imp..- Commission 0 2037638 Fa.'"•)m Notary Public-California < �t'r+i+f • contra costa County r Comm.E Tres t8 2017 Si Notary No ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM Any ochmwledgmena completed m Caltferela must contain verbiage exactly as DESCRIPTION OF MB ATTACHED DOCUMENT appears above in the notary section or a separate aabrmdedamuu form tent be ,/( ��1�� 1 properly completed and attached to that document me.only caption is if a IZfM V 1-t1fYt2 i l I�a'n+ document b to be recorded outride ofCalifornrn h such butanes,mg alternative 1-r (Title or description of ate ,-`-ImcumRu' ) acbaulada+nene verbiage as may be printed on such a document so long a the • V verbiage does not require the notary to do something that is Illegal/or o notmy in California(Le.certifying the amhorted capacity of the signer).Please check the_ (ride or description of attached document continued) document rarsyhfiyfarpropcnota tat wording and atueh this form(lre9Wnd Number of Pages Z Document Date l l W4114 • State and County edbrmatian must be the Ste end County when the document C1/1CIISGIt signers)personally appeared bets the notay public for eelmowtedgment '♦'1113 ) • Date of notarcadom mist be tic doe that the signor(.)personally appeared which must also he the same data the acknowledgment is completed. (Additional Information) • The notary public must it print his or her name asappear within his or her commission followed bye comma and then your title(notary public). • Print the name®of document Nanette)x6o personally appeareat the time of notaritian . CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singing or plural forms by crossing otr Incorrect forms(i.e. Individual(a) intt6ayr is iree)or circling the correct forma.Fain to correctly indicate this tnfonnedon may lead to rejection of document recording, ❑ Corporate Officer • The eatery seal impression must be clear and pholognphidly reproducible. i Impression must not cover teat or lines If seal Impression smudges,re-seal if a (Tide) sufficing sera permits,otherwise complete a differed acknowledgment form ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk ❑ Attorney-in-Fact •t Additional information is not required but could help to ensure this ❑ Trustee(s) eclmowledgmerd Is not mined or attached to e diftsent document ❑ Other •1• Indicate tide or type of attached document,number of pages and data Indicate the capacity claimed by the signer.If the claimed capacity is a corporate officer,indicate the title(la CEO,CFO,Secretary). • Securely attach this document to the signed document I 2005 Version CAPA v1110.07 800.171.9sed wsvw.NotaryCtasses.com CLERK TO THE BOARD PHONE: (970) 336-7215, Ext. 5226 1861 FAX: (970) 352-0242 3117/ELS--N. 1150O STREETPO. BOX758GREELEY, COLORADO 80632 C o v 1 V T Y RECEIVED BY JUL 1 4 2014 July 9, 2014 ASSESSMENT TECHNOLOGIES Safeway, Inc. 1371 Oakland Blvd Suite #200 Walnut Creek, CA 94596 RE: SCHEDULE NUMBER: See Attached List Dear Property Owner: On June 9, 2014, the Board of Weld County Commissioners considered your petition for abatement or refund of taxes and denied same. Pursuant to Section 39-2-125(f), C.R.S., 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: 303-866-5880 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/index.htm Veryy truly yours, (� D U�1 o U C>L a .. () e, Rafaela A. Martinez —� Deputy Clerk to the Board cc: Assessor RM/eg 2011 AND 2012 PETITION FOR ABATEMENT-SAFEWAY, INC PAGE 2 List of Schedule/Parcels: Owner Name County Schedule/Parcel Property Address Safeway Weld CO P0004635 1122 Ave Greeley Safeway Weld CO P2408703 1300 Dexter St. Ft. Lupton Safeway Weld CO P1809301 1535 Main St. Safeway Weld CO P1962001 1535 Main St. Safeway Weld CO P2027402 8134 14 Cr. Road Safeway Weld CO P2722504 4548 Centerplace Dr. Safeway Weld CO P3012005 4632 Centerplace Dr. Safeway Weld CO P0004634 3526 W. 10th St. Safeway Weld CO P2027302 8206 13 Cr. Road RESOLUTION RE: ACTION OF THE BOARD CONCERNING PETITION FOR ABATEMENT OR REFUND OF TAXES -SAFEWAY, INC. (9 PARCELS) 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 9th day of June, 2014, at which meeting there were present the following members: Acting Chair Pro-tem Mike Freeman, and Commissioners Sean P. Conway, and William F. Garcia, with Commissioners Doug Rademacher and Barbara Kirkmeyer excused. 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, Christopher Woodruff, being present, and taxpayer, Safeway, Inc., not being present, and WHEREAS, the Board of County Commissioners has carefully considered the attached petitions for 9 parcels, 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. CORRECTION PARCEL TO ASSESSED ABATEMENT TAX NUMBER VALUATION OR REFUND YEAR P0004635 $0.00 $0.00 2011/2012 P2408703 $0.00 $0.00 2011/2012 P1809301 $0.00 $0.00 2011/2012 P1962001 $0.00 $0.00 2011/2012 P2027402 $0.00 $0.00 2011/2012 P2722504 $0.00 $0.00 2011/2012 P3012005 $0.00 $0.00 2011/2012 P0004634 $0.00 $0.00 2011/2012 P2027302 $0.00 $0.00 2011/2012 2014-1683 AS0087 TAX ABATEMENT PETITION - SAFEWAY, INC. (9 PARCELS) PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 9th day of June, A.D., 2014. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: EXCUSED CC// •+C,lso'� Douglas Rademacher, Chair Weld County Clerk to the Board EXCUSED Barbara Kirkmeyer, Pro-Tern itio dky Clerk to the Board P Sean P. Conway APPR7 AS Mike Fre= a ting Chair Pro-Tern -- dunty •ttorney ji�� R.,.;w, - :; liam F. Garcia -Veit Date of signature: 7 & '% �� . �% IN, 14 2014-1683 AS0087 1# �-� ann"ry III II III 1111 Milli 02 IR $ 07.51° • 0002011513 JUL 11 2011 7004 2890 0003 5708 9653 x ` MAREDF ROM ZPCODE 90831 CLERK TO THE BOARD 86' .W 1150 O STREET PO BOX 758 rl R GREELEY CO 80632 GOJNTY ATTN: SAFEWAY, INC.ACCOUNT MANAGER ASSESSMENT TECHNOLOGIES,LTD. 121 INTERPARK SUITE#308 SAN ANTONIO,TX 78216 • F1ECE1VEO SY .0.L14 4 1014; ASSES O OG ES T ECHN lihll�h� l'II' IiI� I�JIPiI.I � iv lli!:�,I ::: PETITION TO STATE BOARD OF ASSESSMENT APPEALS For Office Use Only 1313 Sherman Street, Room 315 Phone: (303) 864-7710 Denver, Colorado 80203 Fax: (303) 864-7719 Docket No. Fee: Y N Check/Credit Card S Date: 8/8/2014 a F H Property Owner: Safeway, Inc. Subject Property: 1300 Dexter Street Fort Lupton Street Address City Schedule Number(s): P2408703 Attach separate sheet if necessary ❑Board of Equalization Appeals the decision of the Weld 0Board of Commissioners Dated: 6/9/2014 County ❑State Property Tax Administrator This Appeal concerns: ❑Valuation 0 Refund/Abatement O Exemption O State Assessed Tax Year: 2012 The subject property is currently classified as: ❑Agricultural 0 Commercial ❑Exempt O Industrial ❑Mixed Use 0 Natural Resources ❑Oil &Gas RID Personal f7Possessory O Producing t]Residential 0 State Assessed ❑Vacant Land Interest Mines Actual Value assigned to subject property: $837,123 Petitioner's estimate of value: $334,849 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 DPetitioner will appear by telephone 0 Petitioner will be represented by an agent Petitioner is responsible for calling the Board at 303-866-5880 0 Petitioner will be represented by an attorney on the scheduled date and time of hearing(Mountain Time Zone) 0 Petitioner would like to appear by video conference Petitioner must contact the Board at 303-868.5880 at least 20 days in advance of the scheduled hearing to confine 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$10,000,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 as of August 7,2013.A trust filing a petition as of August 8,2012 may be represented by a trustee,an attorney or an agent. Filing Fee: P 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). P $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 Property not assessed at fair market value-including adjustments for obsolenscence. CCP'1 • Required attachments to this form: O Assessor's or Property Tax Administrator's Notice of Valuation or Notice of Denial O Decision of County Board of Equalization, County Board of Commissioners or Property Tax Administrator Attachments required under certain circumstances: O A notarized Letter of Authorization if an agent will be representing Petitioner O 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: O Board of Equalization Weld ❑Board of Commissioners County O State Property Tax Administrator at the following address: 1150 O Street, PO Box 758, Greeley, Colorado 80632 on 8/8/2014 . 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 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 8/8/2014 Date (One copy may be faxed to the Board but the original and two additional copies must be mailed or hand delivered.) Petitioner's Mailing Address Is Required Even if Petitioner is Represented by An Agent or Attorney (per C.R.S. 39-8-109 I ' (l1'Lc ' ! IlCU4Y1v(2jn Sig&ture of Agent ® or Attorney ID Signature of Petitioner James Hausman Safeway, Inc. Printed Name Printed Name 121 Interpark Blvd., Suite 308 1371 Oakland Blvd., #200 Mailing Address Mailing Address San Antonio, Texas 78216 Walnut Creek, CA 94596 City, State,Zip Code City, State, Zip Code Telephone: 210-222-1221 Telephone: 925-938-2244 x300 Daytime number E-Mail: Safeway@atechltd.com E-Mail: donn.matsuzaki@safeway.com Attorney Reg. No.: 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 Web at www.dola.Colorado.gov/baa or may be requested by phone at 303-866-5880. PETITION FOR ABATEMENT OR REFUND OF TAXES /� County: Weld CO Date Received C/1 n/3"0 r O (Use Assessors or Commissioners'Date Stamp) Section I: Petitioner,please complete Section I only. Date: 12/23/2013 Month Day Year Petitioner's Name: Safeway Inc Petitioner's Mailing Address: 1371 OAKLAND BLVD 200 WALNUT CREEK CA 94596 City or Town State Zip Code SCHEDULE OR PARCEL NUMBER(S) PROPERTY ADDRESS OR LEGAL DESCRIPTION OF PROPERTY P2408703 1300 Dexter St. Fort Lupton Petitioner t� abatement or refund of the appropriate taxes and states that the taxes assessed against the above prope ear(s) 2011 and 2012 are incorrect for the followin reasons: (Briefly describe why the x a ypY�rtlevied erroneously or illegally,whether due to err we }iyyyrrmegulari j levying,cler[pll eerrror or ove n. Attach additional sheets if necessary.) � ' k Property net S9les g a p market value-including adjustments for obsolescence U� `` COAa °Coy DEC 31 2013 ► RS WELD COL ,= ; _SSOR ORFEi,.rr. COi C�,~ADO Petitioner's estimate of value: 8 381,270 (2011 )and $334,844 c_____261-2 ) Value Year 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. Daytime Phone Number 5 ) Petitionr's Sign lure /I By iv1rr L' ,(/U� Daytime Phone Number] 210, 12% 122 Agent's Signatuuu}}},,,aaa• '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: Assessor's Recommendation n�, (For Assessor's Use Only) Tax Year 26I ( Tax Year'6I 2-1 /sciai 41 Assessed Ass Tax Actual Assessed Tax Original *53i 11Y' 1Di(pl4Zv 1 L44,3�1. 4/11$3'7Ia3 1cid( 7)D 1dva,DI.i, too I.Demecterft( Yitl(e 1a7(PHeo ..2yi )(. zyil %3' k3 $ayal-))a $1,i' C) Abate/Refund 0 Assessor recommends approval as outlined above. If the request 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-I 14(1)(a)(I)(D),C.R.S. Tax year. Protest? 0 No ❑yes (If a protest was filed,please attach a copy of the NOD.) �'fax"year. Protest? 0 No ❑yes (If a protest was Bled,please attach a copy of the NOD.) L ssessor recommends denial for the following reason(s): / VaL 1 c.orr c�c..t0 aS(It-I J \—Assesso a epJty Assessors I ure 15-DPT-AR No.920-66/11 SAFEWAYINc. 541E STONERIDGE MALL ROAD • PLEASANTON.CA 9168E-3220 January 24,2014 RE: Appointment of Agent Safeway,Inc. To Whom It May Concern: Please be advised that the firm of Assessment Technologies, Ltd.,("ATLTD")has been retained and granted power of attorney to represent the interests of the entity Safeway,Inc.with respect to all property tax issues and matters regarding all business personal property accounts with your office, including but not limited to abatements and appeals for 2011,2012 and/or 2013. Communications related to the appeals process should be mailed to: Assessment Technologies,Ltd. 121 Interpark,Suite 308 San Antonio, TX 78216 Ann:Safeway,Inc Account Manager 'thank you tor your assistance in this matter. If you should have any questions or concerns please contact Heather Chambless, Account Manager at (2 10) 222- 1221 ur by email at hLhamblesstiPatechltd.cQm. Sincerely,424614b_,Donn Matsuzaki Asst Tax Manager SEE ATTACHED CALIFORNIA NOTARIAL CERTIFICATE as Recycled to Paper CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California • County of Contra Costa On Feb. it t 0%14 before me, ea-Bea-Brawl.. lhurMin Notary Public (Hera insert name and title of the oOea) • personally appeared -burin r1144 who proved to rue on the.basis of satisfactory evidence to be the person whose name : sire subscribed to • the within instrument and acknowledged to me that sheJJthey executed the same i .t: r erhheir authorized capacity,,and that be: her/their signature(O'on the instrument the personas),or the entity upon behalf of - which the person acted,executed the instrument. • • I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph. is true and correct • .., BROOK THURSTON WI S my hand and official seal. ,}41101%..! 1,_ Commission 9 2037636 `r '? 21 NotaryPuiae-CaOtornia • Nr ri% contra Costa County Comm. Tres 18 2017 Sigr Notary ate ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM DESCRIPTION OF THE ATTACHED DOCUMENT appears achremledpnent conchred in Caufornta neat contain verbiage nary as appears above ha the notary action or a separate actma„1edgrnme fans mum be Ad( / properly completed and attached to That document The only eta le a poot rrimer)-t �Q [„+ document is to be recorded outside of(,aljfornta In tech Stamen,any tea) rn e -r (Tips or description ofeaaettvell ) oebwrledgment verbiage as may be printed on such a document en tong as the verbiage does not regain the notary to do something that is Illegal fir a rotary in California(Le.erdfylmg the embarked capacity of the signer).Please cheek the (Title ordesoripdea ofsaached document continued) document carets yforpropernotasfal wording and attach thalami if required Number of Pages 2. Document Date i/V4114 • Stab w County udormatian mass be the Sue and County where the document Mat�dt signer(s)personally appeared before the notay public for acknowledgment. . 'fit I s pit) • male of norerisatiod mart be the date that the signw(a)perawrally appeared which uU must also be the same date our eclumvledgment is completed. (Additional Information) • The notary public must print hie or her mink it appears within his or her commission followed bye comas and then your title(notary public). • Print the name(s)of document sipper(s)who personally appear`at the time of notarisation CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off lneorreet forms(Le. ICCIndividual(s) 1tersheAtay,-Is lam)or circling the tarred forms.Failure to correctly indicate this infrmaeoo may lead to reject/cat of document recording. O Corporate Officer • The notary seal impression must be clear and photographially reproducible. Impression must not carer tut or lima If seal impression smudge;re-seal if■ (lee) suffIcied am permit,otherwise complete a different aebmwledgment font O partyier(s) • Signabae of the notary public must match the signature on file with the office of the county cleric Attorney-in-Fact G Additional information is not required but could help to ensue this 0 Trustee(s) acknowledgment 6 not misused or attached to a different document. 0 Other •> Indicate title or type of attached document,number of pages and date. •! Indicate the capacity claimed by the signer.If the claimed capacity is a corporate officer,indicate the title(ie.CEO,CFO,Secretary). • Securely attach this document to the signed document 2008 Version CAPAv12.10O7 800.873.9865 www.NoteryClessncom CLERK TO THE BOARD PHONE: (970) 336-7215, Ext. 5226 1861 FAX: (970) 352-0242 1150 O STREET l� -' P.O. BOX 758 ■■ GREELEY, COLORADO 80632 COUNTY RECEIVED BY JUL 1 4 2014 July 9, 2014 ASSESSMENT TECHNOLOGIES Safeway, Inc. 1371 Oakland Blvd Suite #200 Walnut Creek, CA 94596 RE: SCHEDULE NUMBER: See Attached List Dear Property Owner: On June 9, 2014, the Board of Weld County Commissioners considered your petition for abatement or refund of taxes and denied same. Pursuant to Section 39-2-125(f), C.R.S., 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: 303-866-5880 . 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/index.htm Verytruly yours, p (� D Ufto�(L a Rafaela A. Martinez --. Deputy Clerk to the Board cc: Assessor RM/eg 2011 AND 2012 PETITION FOR ABATEMENT-SAFEWAY, INC PAGE 2 List of Schedule/Parcels: Owner Name County Schedule/Parcel Property Address Safeway Weld CO P0004635 1122 Ave Greeley Safeway Weld CO P2408703 1300 Dexter St. Ft. Lupton Safeway Weld CO P1809301 1535 Main St. Safeway Weld CO P1962001 1535 Main St. Safeway Weld CO P2027402 813414 Cr. Road Safeway Weld CO P2722504 4548 Centerplace Dr. Safeway Weld CO P3012005 4632 Centerplace Dr. Safeway Weld CO P0004634 3526 W. 10th St. Safeway Weld CO P2027302 8206 13 Cr. Road RESOLUTION RE: ACTION OF THE BOARD CONCERNING PETITION FOR ABATEMENT OR REFUND OF TAXES - SAFEWAY, INC. (9 PARCELS) 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 9th day of June, 2014, at which meeting there were present the following members: Acting Chair Pro-tern Mike Freeman, and Commissioners Sean P. Conway, and William F. Garcia, with Commissioners Doug Rademacher and Barbara Kirkmeyer excused. 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, Christopher Woodruff, being present, and taxpayer, Safeway, Inc., not being present, and WHEREAS, the Board of County Commissioners has carefully considered the attached petitions for 9 parcels, 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. CORRECTION PARCEL TO ASSESSED ABATEMENT TAX NUMBER VALUATION OR REFUND YEAR P0004635 $0.00 $0.00 2011/2012 P2408703 $0.00 $0.00 2011/2012 P1809301 $0.00 $0.00 2011/2012 P1962001 $0.00 $0.00 2011/2012 P2027402 $0.00 $0.00 2011/2012 P2722504 $0.00 $0.00 2011/2012 P3012005 $0.00 $0.00 2011/2012 P0004634 $0.00 $0.00 2011/2012 P2027302 $0.00 $0.00 2011/2012 2014-1683 AS0087 TAX ABATEMENT PETITION - SAFEWAY, INC. (9 PARCELS) PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 9th day of June, A.D., 2014. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: r� EXCUSED Douglas Rademacher, Chair Weld County Clerk to the Board EXCUSED Barbara Kirkmeyer, Pro-Tem BY: O7 o_90_,ddj1tt D y Clerk to the Board � P Sean P. Conway APPR AS : '1 A a,ltii Mike Fre= a. ting Chair Pro-Tern z dunty A ttorney 1861 '%+ liam F. Garcia tAr Date of signature: 7-S- �° 2014-1683 AS0087 . 7��1]1111/YM 1117/'I/'7°'55�A 1111 1111 III I Hill! • 0g.JO nellintlear 2 IR $ Q7. 1 0' .M.L 0002011513 .IUL 11 ?0I1 J 7004 2890 0003 5708 9653 MALLEDFROM ZW GODE 50831 CLERK TO THE BOARD 1961 1150 O STREET PO BOX 758 r R GREELEY CO 80632 _OO�NTY ATTN: SAFEWAY, INC.ACCOUNT MANAGER ASSESSMENT TECHNOLOGIES, LTD. 121 INTERPARK SUITE#308 SAN ANTONIO,TX 78216 RECENE° BY lUL1 4 1014 ASSESSMENT TECHNOLOGIES hlill�4''l'il' IJ�^�dJli i!!i � ii l4;';r:j• ',, PETITION TO STATE BOARD OF ASSESSMENT APPEALS For Office Use Only 1313 Sherman Street, Room 315 Phone: (303) 864-7710 Denver, Colorado 80203 Fax: (303) 864-7719 Docket No. Fee: Y N Check/Credit Card# Date: 8/8/2014 P F 4 Property Owner: Safeway, Inc. Subject Property: 1122 Ave Greeley Street Address City Schedule Number(s): P0004635 Attach separate sheet if necessary Appeals the decision of the Weld ❑Board of Equalization pp 0 Board of Commissioners Dated: 6/9/2014 County ❑State Property Tax Administrator This Appeal concerns: ElValuation 0 Refund/Abatement O Exemption O State Assessed Tax Year: 2011 The subject property is currently classified as: ❑Agricultural ❑Commercial t7Exempt ❑Industrial ElMixed Use ONatural Resources ❑Oil &Gas fa Personal OPossessory O Producing ❑Residential O State Assessed O Vacant Land Interest Mines Actual Value assigned to subject property: $1,614,995 Petitioner's estimate of value: $645,998 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: O Petitioner will be present at the hearing OPetitioner will appear by telephone 0 Petitioner will be represented by an agent Petitioner is responsible for calling the Board at 303-886-5880 0 Petitioner will be represented by an attorney on the scheduled date and time of hearing(Mountain Time Zone) D Petitioner would like to appear by video conference Petitioner must contact the Board at 303-866-5880 at least 20 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$10,000,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 as of August 7,2013.A trust filing a petition as of August 8,2012 may be represented by a trustee,an attomey or an agent. Filing Fee: P 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). P $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 Property not assessed at fair market value-including adjustments for obsolenscence. Required attachments to this form: D Assessor's or Property Tax Administrator's Notice of Valuation or Notice of Denial O Decision of County Board of Equalization, County Board of Commissioners or Property Tax Administrator Attachments required under certain circumstances: O A notarized Letter of Authorization if an agent will be representing Petitioner o 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: O Board of Equalization Weld O Board of Commissioners county O State Property Tax Administrator at the following address: 1150 O Street, PO Box 758, Greeley, Colorado 80632 on 8/8/2014 • 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 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 8/8/2014 Date (One copy may be faxed to the Board but the original and two additional copies must be mailed or hand delivered.) Petitioner's Mailing Address is Required Even If Petitioner Is Represented by An Agent or Attorney (per C.R.S. 39-8-1091 Sigria re of Agent ® or Attorney O Signature of Petitioner James Hausman Safeway, Inc. Printed Name Printed Name 121 Interpark Blvd., Suite 308 1371 Oakland Blvd., #200 Mailing Address Mailing Address San Antonio, Texas 78216 Walnut Creek, CA 94596 City, State,Zip Code City, State, Zip Code Telephone: 210-222-1221 Telephone: 925-938-2244 x300 Daytime number E-Mail: Safeway@atechltd.com E-Mail: donn.matsuzaki@safeway.com Attorney Reg. No.: 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 Web at www.dola.Colorado.gov/baa or may be requested by phone at 303-866-5880. PETITION FOR ABATEMENT OR REFUND OF TAXES County: Weld CO Date Received ao/✓-0% (Use Assessor's or Commissioners Date Stamp) Section I: Petitioner, please complete Section I only. Date: 12/23/2013 Month Day Year Petitioner's Name: Safeway Inc Petitioner's Mailing Address: 1371 OAKLAND BLVD 200 WALNUT CREEK CA 94596 city or Town State Zip Code SCHEDULE OR PARCEL NUMBER(S) PROPERTY ADDRESS OR LEGAL DESCRIPTION OF PROPERTY P0004635 1122 Av.Greeley Petitioner requests an abatement or refund of the appropriate taxes and states that the taxes assessed against the above property for property tax year(s) 2011 and 2012 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.) Propert : �iC ,gg_d'at fair market value-including adjustments for obsolescence �111CC �t VED May 09 LLD ,rp 64 Petit $139,610 (2011 )and 5157,639 2012 ) Value Year 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. Daytime Phone Number J ) Petlt Stature Lk l(//�77 .. Zia Zia -z2:2-- I zz By ( Daytime Phone Number J Agent's Signature '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 Properly 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: Assessor's Recommendation (For Assessor's Use Only) �r`� Tax Year Obit Tax Year .c J)- Actual As 4 ≥'3 ual 4 is Original 1 3 b7 Q' II 101);20 181.25 S,T $314,CA'( I l i tl 10 `11 `J3'4S,3 3Uc �ly S( (o 1flu �ig/S;.Sci 3tijloCg' a "`41290 q(�{s.3 `� C orteNs ( � ��/� Abate/Refund 9( V `-� 7 O Assessor recommends approval as outlined above. If the request 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)(a)(IXD),C.R.S. Tax year. Protest? O No 0 Yes (If a protest was pled,please attach a copy of the NOD.) Tax year. Protest? 0 No ❑Yes (If a protest was filed,please attach a copy of the NOD.) Assessor recommends denial for the following reason(s): 9 U0L LILA (1-)3Y"P 1-Ctl. c eCialc l-r ,.3 e5 •I4p'0c9 IkLLo . lei Assessor or Deputy Assessor's ure 15-DPT-AR Na 920-66/11 • � SAFEWAYINc. `� 5918 STONERIOGE MALI.MAO • PLEASANTON.CA 94688-3429 January 24,2014 RE: Appointment of Agent Safeway,Inc. To Whom It May Concern: Please be advised that the firm of Assessment Technologies, Ltd.,("ATLTD")has been retained and granted power of attorney to represent the interests of the entity Safeway,Inc.with respect to all property tax issues and matters regarding all business personal property accounts with your office, including but not limited to abatements and appeals for 2011,2012 and/or 2013. Communications related to the appeals process should be mailed to: Assessment Technologies,Ltd 121 Interpark,Suite 308 San Antonio, TX 78216 Attn:Safeway,Inc.Account Manager 'thank you tar your assistance in this matter. If you should have any questions or concerns please contact Heather Chambless, Account Manager at (210) 222- 122 I. or by email at hchamblesstiUatechltd.coru. sincerely, Donn Matsuzaki Asst. Tax Manager SEE ATTACHED CALIFORNIA NOTARIAL CERTIFICATE •• Recycled raj Paper • CALIFORNIA. ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California • County of Contra Costa • On Feb. 114 Obit/ before me, eBY001c.a h S Fen • Notary Public (Hera insert name and title of the officer) • personally appeared l*tn p-4$U9 a Nit who proved to me on the,basis of satisfactory evidence to be the person whose name . Ore subscribed to • the within instrument and acknowledged to me that l�y(shefthey executed the same i 6i'•er/their authorized capacity all.and that b7(f'nher/their signature(gon the instrument the person,(21,or the entity upon behalf of • which the person9Q acted,executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct • .. BROOK THURSTON •lsiss S my hand and official seal ti, Commission 92037636 D3( rr "• 7e. Notary Pubtic-California Comm.E Ire+ 18 2017 a' Notary (N ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM Any aebanwldgmsns completed be California amt contain verbiage exactly as DESCRIPTION OF TEE ATTACHED DOCUMENT appears abort in the notary moon or a separate actwwledgmem form must be ,,//t� ten* 11 properly completed and attached to that document The.only exception is V a AppM r'I I r7lXl i 1 �[l•1 docrnmry 4 to be recorded outride gjCaf(fomla fa such lanm•rer,any alternative t 1 (title or description of me ) acknowledgment verbiage as mar be printed on such a document se long as the • verbiage doer not mat the missy to do something that 4 Illegal fir a notary in Cahfomb(Le teething the amhorted capacity of the signer).Plan check the (fide or description of attached doc meetcmtlnued) d°nr°nmtcare/WlyfarProPernotmfal wording mdatmalr this firm"required Number of Paged Z Document Date I/ems f 1 e+ • state and Cowley information must he the state end Cry where the document It1C,ltaLtl � sigrter(s)personally appeared Infers the rotary public for acknowledgment. rq %i s• ' U erm• Date of notdon must be the date that the sigmr(a)personally appeared which (J mint also be the same date the ec4aawledgmsnt Is completed. (Additional Information) • The notary public must print his or her name as it appear,within his or her • commiulm followed by a comma and then your title(notary publio). • Prim the name(,)of document sigpa(s)Aso personally appear at the time of notarisation. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forme by crossing off located forms(it Individual(s) Wahl/they;Is tre)or eireling the correct forma Failure to correctly indicate this ❑ Corporate Officer won may lead to rejection of decorated recording. • The notary seal imprenion matt be clear and photographically.reproducible. Impression must not cover ton or line.If seal Impression smudge;re-veal if■ (Title) sufficient area permits,otherwise complete a different sclvmwiedgment form ❑ Partner(s) • Signal's of the notary public must match the signature on file with the office of ❑ the county clerk, k Additional information is not required but could help to emu re this 0 Trustees) eclmowledgnent is not misused or attached to a different document ❑ Other .ti Indicate title or type of inched document,number of pages and data Indicate the capacity claimed by the signer.If the claimed capacity is• corporate officer,indicate the title(ill CEO,CFO,Secretary). • Securely attach this document to the signed document 200E Version CAPA v 1210.07100 473.9865 www.NotaryClnves.com CLERK TO THE BOARD PHONE: (970) 336-7215, Ext. 5226 1861 FAX: (970) 352-0242 115 O STREET �� _- P.O. BOX 758 GREELEY, COLORADO 80632 VI _ _COUNTY RECEIVED BY JUL 1 4 2014 July 9, 2014 ASSESSMENT TECHNOLOGIES Safeway, Inc. 1371 Oakland Blvd Suite #200 Walnut Creek, CA 94596 RE: SCHEDULE NUMBER: See Attached List Dear Property Owner: On June 9, 2014, the Board of Weld County Commissioners considered your petition for abatement or refund of taxes and denied same. Pursuant to Section 39-2-125(f), C.R.S., 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: 303-866-5880 . 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/index.htm Veryy truly yours, n U(t0TOL, a. „�-C()44s,„ Rafaela A. Martinez —� Deputy Clerk to the Board cc: Assessor RM/eg , 2011 AND 2012 PETITION FOR ABATEMENT-SAFEWAY, INC PAGE 2 List of Schedule/Parcels: Owner Name County Schedule/Parcel Property Address Safeway Weld CO P0004635 1122 Ave Greeley Safeway Weld CO P2408703 1300 Dexter St. Ft. Lupton Safeway Weld CO P1809301 1535 Main St. Safeway Weld CO P1962001 1535 Main St. Safeway Weld CO P2027402 813414 Cr. Road Safeway Weld CO P2722504 4548 Centerplace Dr. Safeway Weld CO P3012005 4632 Centerplace Dr. Safeway Weld CO P0004634 3526 W. 10th St. Safeway Weld CO P2027302 8206 13 Cr. Road RESOLUTION RE: ACTION OF THE BOARD CONCERNING PETITION FOR ABATEMENT OR REFUND OF TAXES - SAFEWAY, INC. (9 PARCELS) 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 9th day of June, 2014, at which meeting there were present the following members: Acting Chair Pro-tem Mike Freeman, and Commissioners Sean P. Conway, and William F. Garcia, with Commissioners Doug Rademacher and Barbara Kirkmeyer excused. 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, Christopher Woodruff, being present, and taxpayer, Safeway, Inc., not being present, and WHEREAS, the Board of County Commissioners has carefully considered the attached petitions for 9 parcels, 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. CORRECTION PARCEL TO ASSESSED ABATEMENT TAX NUMBER VALUATION OR REFUND YEAR P0004635 $0.00 $0.00 2011/2012 P2408703 $0.00 $0.00 2011/2012 P1809301 $0.00 $0.00 2011/2012 P19620O1 $0.00 $0.00 2011/2012 P2027402 $0.00 $0.00 2011/2012 P2722504 $0.00 $0.00 2011/2012 P3012005 $0.00 $0.00 2011/2012 P0004634 $0.00 $0.00 2011/2012 P2027302 $0.00 $0.00 2011/2012 2014-1683 AS0087 TAX ABATEMENT PETITION - SAFEWAY, INC. (9 PARCELS) PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 9th day of June, A.D., 2014. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: iCam//�ie/fey S' EXCUSED �cl Douglas Rademacher, Chair Weld County Clerk to the Board EXCUSED Barbara Kirkmeyer, Pro-Tern Dy Clerk to the Board Sean P. Conway APPR3 ' R AS : 'MaiStet Mike Fre= a' , ting Chair Pro-Tern o my ttorney .1►r liam F. Garcia Date of signature: 1-S- ` . 2014-1683 AS0087 JIJ�^ I I III III II I III II ( , 5 {yv.�/YWY c , 000201 t t ?01.1 MAILED FROM 7004 2890 0003 5708 9653 Gci3x 00020115/3 JULPCODE 30031 CLERK TO THE BOARD I21 et 1150 O STREET \) j' r,�t - I��• PO BOX 758 /"I R GREELEY CO 80632 GOJL tY ATTN: SAFEWAY, INC.ACCOUNT MANAGER ASSESSMENT TECHNOLOGIES,LTD. 121 INTERPARK SUITE 6308 SAN ANTONIO,TX 78216 RECENEO BY 1110 4 1014 ASSESS OGIE.S TECHNOL PETITION TO STATE BOARD OF ASSESSMENT APPEALS For Office Use Only 1313 Sherman Street, Room 315 Phone: (303) 864-7710 Denver, Colorado 80203 Fax: (303) 864-7719 Docket No. Fee: Y N Check/Credit Card I Date: 8/8/2014 P FLi Property Owner: Safeway, Inc. Subject Property: 1122 Ave Greeley Street Address City Schedule Number(s): P0004635 Attach separate sheet if necessary O Board of Equalization Appeals the decision of the Weld 0 Board of Commissioners Dated: 6/9/2014 County O State Property Tax Administrator This Appeal concerns: Valuation 0 Refund/Abatement O Exemption ❑State Assessed Tax Year: 2012 The subject property is currently classified as: ❑Agricultural O Commercial i7Exempt O Industrial ❑Mixed Use O Natural Resources ❑Oil &Gas 2 Personal ❑Possessory O Producing 'Residential O State Assessed o Vacant Land Interest Mines Actual Value assigned to subject property: $1,450,118 Petitioner's estimate of value: $580,047 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 OPetitioner will appear by telephone 0 Petitioner will be represented by an agent Petitioner is responsible for calling the Board at 303-866-5880 0 Petitioner will be represented by an attorney on the scheduled date and time of hearing(Mountain Time Zone) 0 Petitioner would like to appear by video conference Petitioner must contact the Board at 303-866-5880 at least 20 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$10,000,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 as of August 7,2013.A trust filing a petition as of August 8,2012 may be represented by a trustee,an attorney or an agent. Filing Fee: P 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 Property not assessed at fair market value-including adjustments for obsolenscence. • Required attachments to this form: O Assessor's or Property Tax Administrator's Notice of Valuation or Notice of Denial O Decision of County Board of Equalization, County Board of Commissioners or Property Tax Administrator Attachments required under certain circumstances: O A notarized Letter of Authorization if an agent will be representing Petitioner O 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: O Board of Equalization Weld in Board of Commissioners County O State Property Tax Administrator at the following address: 1150 O Street, PO Box 758, Greeley, Colorado 80632 on 8/8/2014 • 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 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 8/8/2014 Date (One copy may be faxed to the Board but the original and two additional copies must be mailed or hand delivered.) Petitioner's Mailing Address is Required Even If Petitioner Is Represented by An Agent or Attorney (per C.R.S. 39-8-109 Sig ure of Agent ® or Attorney CI Signature of Petitioner James Hausman Safeway, Inc. Printed Name Printed Name 121 Interpark Blvd., Suite 308 1371 Oakland Blvd., #200 Mailing Address Mailing Address San Antonio, Texas 78216 Walnut Creek, CA 94596 City, State,Zip Code City, State, Zip Code Telephone: 210-222-1221 Telephone: 925-938-2244 x300 Daytime number E-Mail: Safeway@atechltd.com E-Mail: donn.matsuzaki@safeway.com Attorney Reg. No.: 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 Web at www.dola.Colorado.gov/baa or may be requested by phone at 303-866-5880. PETITION FOR ABATEMENT OR REFUND OF TAXES /�/3- Q County: Weld CO Date Received (210077 (Use Assessors or Commissioners'Date Stamp) Section I: Petitioner,please complete Section I only. Date: 12/23/2013 Month Day Year Petitioner's Name: Safeway Inc Petitioner's Mailing Address: 1371 OAKLAND BLVD 200 WALNUT CREEK CA 94596 • City or Town State Zip Code SCHEDULE OR PARCEL NUMBER(S) PROPERTY ADDRESS OR LEGAL DESCRIPTION OF PROPERTY P0004635 1122 Av.Greeley Petitioner requests an abatement or refund of the appropriate taxes and states that the taxes assessed against the above property for property tax year(s) 2011 and 2012 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.) Propert§Ln�}sCS�s d'at fair market value-including adjustments for obsolescence /1'1 CC``�E VED //+'a��MAY 09 j.;.. PetltlbtwrrpLD d? a 139,610 (___2011 )and $157,639 201 ) '"�` Value Year 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. Daytime Phone Number( 1 Petit) oar's 51 ature By � ,{V , /3-/ Daytime Phone Number Zia i zZ Zz I Agent's Signature '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.5., 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: Assessor's Recommendation (For Assessor's Use Only) �y Tax Year A Tax Year v (`2.— 1 (Acctual /� As 4 Tax cam. �n seal C Assetssssri O�3 Original 316Z`Y 3 I01 iinD 16;.255,)1) $Jr4(c p 5 i( I'i'i-I)) A ci3'4S'3u,1 correetedl3l4 1 it 21' Si col()-2ta 1I f ps.).)c5 3ytflj / oc g N Iiii2`(O 31j(/ -i 3 `.i Abate/Refund 7 �_ 95- �-/ y O Assessor recommends approval as outlined above. If the request for abatement is based upon the grounds of overvaluation,no abatement or refund of taxes shall be made if an objection or protest to such valuation has been filed and a Notice of Determination has been mailed to the taxpayer,§39-10-114(1)(a)(p(D),C.R.S. Tax year. Protest? O No 9 Yes (if a protest was filed,please attach a copy of the NOD.) Tax year. Protest? O No O Yes (If a protest was filed,please attach a copy of the NOD.) Assessor recommends denial for the following reason(s): V(oltu..fi, &SY"tk G-,1 c c €a1 c� t n� H ✓e5 I e (9_.r� t quo . • (J' Assessor or Deputy Assessor's sera 15-DPT-AR No.920-66/11 � SAFEWAYINc. `�� 641$sTONERIOGE MALL MAO • PLEASANTON.CA 94686-3229 January 24,2014 RE: Appointment of Agent Safeway,Inc. To Whom It May Concern: Please be advised that the firm of Assessment Technologies, Ltd., ("ATLTD")has been retained and granted power of attorney to represent the interests of the entity Safeway,Inc.with respect to all property tax issues and matters regarding all business personal property accounts with your office, including but not limited to abatements and appeals for 2011,2012 and/or 2013. Communications related to the appeals process should be mailed to: Assessment Technologies,Ltd 121 Interpark,Suite 308 San Antonio, 77(78216 Attn:Safeway,Inc.Account Manager Thank you for your assistance in this matter. If you should have any questions or concerns please contact (leather Chamhless,Account Manager at (210) 222- 1221 or by email at hthambiessiidatechltd.com. Sincerely, Donn Matsuzaki Asst. Tax Manager SEE ATTACHED CALIFORNIA NOTARIAL CERTIFICATE a...Recycled •R cycled tli Paper • CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California • • County of Contra Costa • • On �th. II r 020 before me, ?HOOK_ I Shin Notary Public (Hen insert one and title of the officer) • personally appeared n nil p+Su 9 Q ltl • • who proved to me on the,basis of satisfactory evidence to be the person whose name . Vire subscribed to the within instrument and aclmowledged to me that sr he/hey executed the same i er/their authorized capacity ,,and that b 'her/their signatureVon the instrument the personfal or the entity upon behalf of • which the person acted,executed the instrument • I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct • • BACON THUASI0N • AshritS my hand and official seal commission a 2037638 • a 7`)�'r� NotaryoeaCuny • lTf � Contra Costa County Comm. Ues ie 2017 Si®i Nobly • • a . + ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM DESCRIPTION OF THE ATTACHED DOCUMENT Any lea the completed to California noun conraa verbiage exactly as appearlacy section or a separate ackrowlectment form mtos bat �f[�] nil-punt rtt properly completed and attached to that document The.only exception le V a rZJ'�h1 F1 C�f Y►+ daewnw k to be neordad outside�Caryjomta 8r such wraness any alternative 111 (Title or desariptian of etlac •V"`") acknowletipnent verbiage as nay be petted on such a document so long as the verbiage dote not require the notary to do soinerhbg that it illegal Ibr a noisy in tali/antic(Lt urology the aohorted capacfry of the signer).Please check the (fide ordeseripdan of attached document continued) document rargidyfarpropernomvf wordlrgand attach(hlaform(t regahsd Number of Pager Z - Document Date I Jan J l ' Sme County information muse be m.State end County whets m.document CII1CItsdt signer(s)personally appeared before the notary public for aelmo*Nedgme e. rte4 %K is S pit) • Data of methadon mgt be the date that the signer®pasonally appeared which • Q must also he the same data the ealcnovdedgment is completed. (Additional Information) • The notary public must print his or bar mama as it appears• cammisaim followed by a comma and them your tide(notary bbd his or her ). • Print the name(s)of document signor®who potently appear at Me time of • notarisation CAPACITY CLAIMED BY TAE SIGNER • Indicate the correct singular or plural forms by crossing off Incorrect forms(i.e. XIndividual(a) hershefheyr Is fate)err circling the correct toms Failure to correctly indicate this Intimation❑ Corporate Officer • me nooayy sswl'impreaiion to ��f be dm tc.anument�no Impression mug not cover text or line.If seal Impression rowdy reproducible.re-seal (Title) sot aate permits,otherwise complete adithred aebrowleasnuM foes ❑ Partner(s) • mated of the notary public must match the signature on file with the office of the county clerk ❑ Attorney-in-Feet •a Additional information is not required but could help to enure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document ❑ Other .ti Indicate title or type of attached document,number of pages and data Indicate the capacity claimed by the signer.If the claimed opacity is a • corporate officer,indicate the title(La CEO,CFO,Secretary). • Securely attach this document to the signed document 2008 Version CAPA r12.10.07800-173.9863 vnvw.Notaryelassescom CLERK TO THE BOARD t PHONE: (970) 336-7215, Ext. 5226 1861 FAX: (970) 352-0242 1150 O STREET P.O. BOX 758 GREELEY, COLORADO80632 G O U I V I I RECEIVED BY JUL 1 4 2014 July 9, 2014 ASSESSMENT TECHNOLOGIES Safeway, Inc. 1371 Oakland Blvd Suite #200 Walnut Creek, CA 94596 RE: SCHEDULE NUMBER: See Attached List Dear Property Owner: On June 9, 2014, the Board of Weld County Commissioners considered your petition for abatement or refund of taxes and denied same. Pursuant to Section 39-2-125(f), C.R.S., 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: 303-866-5880 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/index.htm Very truly yours, 4b OL a .9Pwmil,., Rafaela A. Martinez —� Deputy Clerk to the Board cc: Assessor RM/eg 2011 AND 2012 PETITION FOR ABATEMENT-SAFEWAY, INC PAGE 2 List of Schedule/Parcels: Owner Name County Schedule/Parcel Property Address Safeway Weld CO P0004635 1122 Ave Greeley Safeway Weld CO P2408703 1300 Dexter St. Ft. Lupton Safeway Weld CO P1809301 1535 Main St. Safeway Weld CO P1962001 1535 Main St. Safeway Weld CO P2027402 8134 14 Cr. Road Safeway Weld CO P2722504 4548 Centerplace Dr. Safeway Weld CO P3012005 4632 Centerplace Dr. Safeway Weld CO P0004634 3526 W. 10th St. Safeway Weld CO P2027302 820613 Cr. Road RESOLUTION RE: ACTION OF THE BOARD CONCERNING PETITION FOR ABATEMENT OR REFUND OF TAXES - SAFEWAY, INC. (9 PARCELS) 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 9th day of June, 2014, at which meeting there were present the following members: Acting Chair Pro-tern Mike Freeman, and Commissioners Sean P. Conway, and William F. Garcia, with Commissioners Doug Rademacher and Barbara Kirkmeyer excused. 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, Christopher Woodruff, being present, and taxpayer, Safeway, Inc., not being present, and WHEREAS, the Board of County Commissioners has carefully considered the attached petitions for 9 parcels, 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. CORRECTION PARCEL TO ASSESSED ABATEMENT TAX NUMBER VALUATION OR REFUND YEAR P0004635 $0.00 $0.00 2011/2012 P2408703 $0.00 $0.00 2011/2012 P1809301 $0.00 $0.00 2011/2012 - P19620O1 $0.00 $0.00 2011/2012 P2027402 $0.00 $0.00 2011/2012 P2722504 $0.00 $0.00 2011/2012 P3012005 $0.00 $0.00 2011/2012 P0004634 $0.00 $0.00 2011/2012 P2027302 $0.00 $0.00 2011/2012 2014-1683 AS0087 TAX ABATEMENT PETITION - SAFEWAY, INC. (9 PARCELS) PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 9th day of June, A.D., 2014. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: C,( C� r,.� EXCUSED �/ c `�/�•64 Douglas Rademacher, Chair Weld County Clerk to the Board EXCUSED Barbara Kirkmeyer, Pro-Tern BY: O (L. 40:4i xsz D dky Clerk to the Board Sean P. Conway APpRr AS a •r' Erna, Mike Fre= ai ting Chair Pro-Tern o my a ttorney IS6I ,VA �^• liam F. Garcia Date of signature: 7-8- '•��` `. 2014-1683 AS0087 ,a��a�unyiysnF:ii r+�eisee� II IIIIrim III I IIII VIII • y y�y1 02 1R $ UT.81er T 0002011313 JUL I I 201 1 7004 2890 0003 5708 9653 Y `• MAILED FROMZIPCOOE 90831 CLERK TO THE BOARD 1861 1150 O STREET PO BOX 758 r� R GREELEY CO 80632 cos TY ATTN: SAFEWAY, INC.ACCOUNT MANAGER ASSESSMENT TECHNOLOGIES,LTD. 121 INTERPARK SUITE#308 SAN ANTONIO,TX 78216 • • RECEIVED BY 1UL.14 1014 pSSESSLOGI S ' TECHNG PETITION TO STATE BOARD OF ASSESSMENT APPEALS For Office Use Only 1313 Sherman Street, Room 315 Phone: (303)864-7710 Denver, Colorado 80203 Fax: (303)864-7719 Docket No. Fee: Y N Check/Credit Card# Date: 8/8/2014 , FI Property Owner: Safeway, Inc. Subject Property: 3526 W 10th Street Greeley Street Address City Schedule Number(s): P0004634 Attach separate sheet if necessary Appeals the decision of the Weld O Board of Equalization 0 Board of Commissioners Dated: 6/9/2014 County ❑State Property Tax Administrator This Appeal concerns: flValuation 0 Refund/Abatement O Exemption O State Assessed Tax Year: 2011 The subject property is currently classified as: ❑Agricultural O Commercial ❑Exempt ❑Industrial ❑Mixed Use O Natural Resources ❑Oil &Gas 2 Personal ❑Possessory O Producing flResidential O State Assessed ❑Vacant Land Interest Mines Actual Value assigned to subject property: $1,614,995 Petitioners estimate of value: $645,998 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: O Petitioner will be present at the hearing OPetitioner will appear by telephone 0 Petitioner will be represented by an agent Petitioner is responsible for calling the Board at 303-866-5880 0 Petitioner will be represented by an attorney on the scheduled date and time of hearing(Mountain Time Zone) U Petitioner would like to appear by video conference Petitioner must contact the Board at 303-866-5880 at least 20 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$10,000,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 as of August 7,2013.A trust filing a petition as of August 8,2012 may be represented by a trustee,an attomey or an agent. Filing Fee: P 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). O $ 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 Property not assessed at fair market value-including adjustments for obsolenscence. COPY Required attachments to this form: O Assessor's or Property Tax Administrator's Notice of Valuation or Notice of Denial O Decision of County Board of Equalization, County Board of Commissioners or Property Tax Administrator Attachments required under certain circumstances: a A notarized Letter of Authorization if an agent will be representing Petitioner O 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: O Board of Equalization Weld 0 Board of Commissioners County O State Property Tax Administrator at the following address: 1150 O Street, PO Box 758, Greeley, Colorado 80632 on 8/8/2014 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 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 8/8/2014 Date (One copy may be faxed to the Board but the original and two additional copies must be mailed or hand delivered.) Petitioner's Mailing Address is Required Even if Petitioner is Represented by An Agent or Attorney (per C.R.S. 39-8-109 Sigrature of Agent ® or Attorney O Signature of Petitioner James Hausman Safeway, Inc. Printed Name Printed Name 121 Interpark Blvd., Suite 308 1371 Oakland Blvd., #200 Mailing Address Mailing Address San Antonio, Texas 78216 Walnut Creek, CA 94596 City, State, Zip Code City, State, Zip Code Telephone: 210-222-1221 Telephone: 925-938-2244 x300 Daytime number E-Mail: Safeway@atechltd.com E-Mail: donn.matsuzakina safeway.com Attorney Reg. No.: 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 Web at www.dola.Colorado.gov/baa or may be requested by phone at 303-866-5880. PETITION FOR ABATEMENT OR REFUND OF TAXES County: Weld CO Date Received 96/5"-1)6V (Use Assessor's or Commissioners'Date Stamp) • Section I: Petitioner,please complete Section I only. Date: 12/23/2013 Month Day Year Petitioner's Name: Safeway Inc Petitioner's Mailing Address: 1371 OAKLAND BLVD 200 WALNUT CREEK CA 94596 City or Town State Zip Code SCHEDULE OR PARCEL NUMBER(S) PROPERTY ADDRESS OR LEGAL DESCRIPTION OF PROPERTY P0004634 3526 W. 10 St. Petitioner requests an abatement or refund of the appropriate taxes and states that the taxes assessed against the above property for property tax year(s) 2011 and 2012 are incorrect for the following a efly describe why the taxes have been levied erroneously or illeega lye ly whether��eyyy(��pppppplllIIIrrrrrr��popppp u In' rtry in levying,clencal error or overvaluation. Attach additional sheets If necessa Property not ffeG fViEl)et value-including adjustments for obs e" DEC 31 2013 MAY O9 2014 WELD COUNTY wEoLpp COUiv L ASSOR n�� R.E€LEY. COLv�ADO Petitlonec 1SJERS $645,990 (2011 )and $560,047 (2012 ) Value Year 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. Daytime Phone Numberf By Jp/,/tn ' Petition a Sig/natpIre ,LLV / L L _?�� Daytime Phone Number f 2 IV) 22z Z I ZZ, ) Agent's Signature' 'Letter of agency must be attached when petition is submitted by en 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: Assessor's Recommendation ll f� (For Assessor's Use Only) Tax Year T V I I Tax Year��1 r r I (� y�)jAssessed gip' y ,y 82pual y A OdginaSl l to I/ '� '(,�/,') DI-,Ijl'/613,55T0 rI� G LO`l 6 K4 � 155, I I((1� S��rso �/S 3,.Z tt3. Li -1 Corrected II 1 i4I q IJ 1.GA(3s0 N Jr(1Jt(/A ist HZ 1��h ' i HA) -^ 2U3, (I( Abate/Refund P lam/ ❑Assessor recommends approval as outlined above. ((( YYY If the request 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 fled and a Notice of Determination has been mailed to the taxpayer,§39-10-114(1)(a)(I)(D),C.R.S. Tax year. Protest? 0 No 0 Yes (If a protest was filed,please attach a copy of the NOD.) Tax year Protest? ❑No 0 Yes (If a protest was filed,please attach a copy of the NOD.) Assessor recommends denial for the following reason(s): VQlul cOYre ell CA.CC U ( r 5 I FrDai.Lv..o sass r s Depu Ass sorts slurs 15-DPT-AR No.920.66/11 t SAFEWAYisc. `� 591E STONERIDGE MULL ROAD • PLEASANTON,CA 9168E-3229 January 24,2014 RE: Appointment of Agent Safeway,Inc. To Whom It May Concern: Please be advised that the firm of Assessment Technologies, Ltd.,("ATLTD")has been retained and granted power of attorney to represent the interests of the entity Safeway,Inc.with respect to all property tax issues and matters regarding all business personal property accounts with your office, including but not limited to abatements and appeals for 2011,2012 and/or 2013. Communications related to the appeals process should be mailed to: Assessment Technologies,Ltd 121 Intel-park,Suite 308 San Antonio, TX 78216 Attn:Safeway,Inc.Account Manager ','hank you for your assistance in this matter. If you should have any questions or concerns please contact Heather Chamhless, Account Manager at (210) 222- 1221 ur by email at hthamblessLibatechltd.corn Sincerely, Donn Matsuzaki Asst. Tax Manager SEE ATTACHED CALIFORNIA NOTARIAL CERTIFICATE at Recycled t.:Paper CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT • State of California • County of Contra Costa • On &h. II t 064before me, '3YDDL thurMin NotaryPublic (Hera insert name and title of the officer) • personally appeared —burin r '1 th Std to 'Lt • , who proved to inc on the,basis of satisfactory evidence to be the personcdf whose name0) sore subscribed to the within instrument and acknowledged to me that le e/they executed the same it herhheir authorized capacity 90),,and that b7 S 'herkheir signature($'on the instrument the person,(a), or the entity upon behalf of • which the person)acted,executed the instrument. • ' I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. n2s0 N _s ' CommissBNOOionfI2037638 WITNESS my hand and official sea[. r C 1e Notary Public-California �r'+f • Contra Costs County isperripComm.Ex Ira /8t 2017 Si Notary T--- 04 ADDITIONAL OPTIONAL INFORMATION • INSTRUCTIONS FOR COMPLETING THIS FORM DESCRIPTION OF TAB ATTACHED DOCUMENT Any acknowledgment completed In California must contain verbiage exactly as appears above In the notary action or a separate acbwwledynent form mat be A,st properly canpletad and attached to that document The.only caption 4 {f a h`rrivnint �-i• document is to be recorded owslds of calf/omit In such Santa any alternative Tries or description of eclat ) acknowledgment verbiage u may be printed on nth a docvmmf so long lone the verbiage don not require the notary to do something that 4 illegal Jbr a notary In California(Le.certifying the authoreed capacity of the algtnr).Please check the (Title or description of attached document continued) document carefWlyfor proper notarta7uading and attach this*,Vacated Number of Pages Z _ Document Date I/at/1 g • Stab and County information mat be the slate sad Cowry when the document I r1C.1uL1tsianer(s)personally appeared before the notary elm tary pub&for emvledgaent. •{'3115pits) • Date of notarization mat be the date that the signer(s)personally appeared which mat also be the same data the acbwwledg want 4 completed. (Additional information) • The rioter/public must print his or her name as it appears within his or het • commission followed bye comma and then your tide(notary public). • Print the name(a)of document signers)who personally swat at the time of notsrindion. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off Inenureet forms(i.e. XeIndivilival(a) lt•Isheftherr is fare)or InfmyHon may Iced to ircling the tarred rejectionof documfer�ent iec recording.Fallure to correctly indicate this ❑ Corporate Officer • The notary sad impression must be clear and photographically reproducible. Impranbn mud not cover test or linen If seal impression smudges,re-sal if a (Tide) sufficient area permits,otherwise complete a differed acknowledgment form. ❑ Partner(s) • Signature of notary public must match the signature on file with the office of the county cleric. ❑ Attorney-in-Feet •> Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment Is not minced or attached to a different document ❑ Other n Indicate title or type of attached w an ched domcnt,number of pages d data • trdicate the capacity claimed by the signer.If the claimed capacity is a corporate officer,indicate the title(ill CEO,CFO,Secretary). • Securely attach this document to the signed document � -• 2008 Version CAPAv12.10.07100.173.9865 wowNotaryCleves.com ...... 2008 CLERK TO THE BOARD PHONE: (970) 336-7215, Ext. 5226 1861 �' FAX: (970) 352-0242 1150 O STREET P.O. BOX 758 GREELEY, COLORADO 80632 GOUNTY RECEIVED BY JUL 1 4 2014 July 9, 2014 ASSESSMENT TECHNOLOGIES Safeway, Inc. 1371 Oakland Blvd Suite #200 Walnut Creek, CA 94596 RE: SCHEDULE NUMBER: See Attached List Dear Property Owner: On June 9, 2014, the Board of Weld County Commissioners considered your petition for abatement or refund of taxes and denied same. Pursuant to Section 39-2-125(f), C.R.S., 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: 303-866-5880 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/index.htm Veryy truly yours, r` u . , Uct a p a. a fl �"i, Rafaela A. Martinez Deputy Clerk to the Board cc: Assessor RM/eg 2011 AND 2012 PETITION FOR ABATEMENT-SAFEWAY, INC PAGE 2 List of Schedule/Parcels: Owner Name County Schedule/Parcel Property Address Safeway Weld CO P0004635 1122 Ave Greeley Safeway Weld CO P2408703 1300 Dexter St. Ft. Lupton Safeway Weld CO P1809301 1535 Main St. Safeway Weld CO P1962001 1535 Main St. Safeway Weld CO P2027402 813414 Cr. Road Safeway Weld CO P2722504 4548 Centerplace Dr. Safeway Weld CO P3012005 4632 Centerplace Dr. Safeway Weld CO P0004634 3526 W. 10th St. Safeway Weld CO P2027302 8206 13 Cr. Road RESOLUTION RE: ACTION OF THE BOARD CONCERNING PETITION FOR ABATEMENT OR REFUND OF TAXES - SAFEWAY, INC. (9 PARCELS) 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 9th day of June, 2014, at which meeting there were present the following members: Acting Chair Pro-tem Mike Freeman, and Commissioners Sean P. Conway, and William F. Garcia, with Commissioners Doug Rademacher and Barbara Kirkmeyer excused. 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, Christopher Woodruff, being present, and taxpayer, Safeway, Inc., not being present, and WHEREAS, the Board of County Commissioners has carefully considered the attached petitions for 9 parcels, 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. CORRECTION PARCEL TO ASSESSED ABATEMENT TAX NUMBER VALUATION OR REFUND YEAR P0004635 $0.00 $0.00 2011/2012 P2408703 $0.00 $0.00 2011/2012 P1809301 $0.00 $0.00 2011/2012 P1962001 $0.00 $0.00 2011/2012 P2027402 $0.00 $0.00 2011/2012 P2722504 $0.00 $0.00 2011/2012 P3012005 $0.00 $0.00 2011/2012 P0004634 $0.00 $0.00 2011/2012 P2027302 $0.00 $0.00 2011/2012 2014-1683 AS0087 TAX ABATEMENT PETITION - SAFEWAY, INC. (9 PARCELS) PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 9th day of June, A.D., 2014. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: EXCUSED � jeze'� Douglas Rademacher, Chair Weld County Clerk to the Board EXCUSED Barbara Kirkmeyer, Pro-Tern BY: ipitaQrt,y Clerk to the Board D Sean P. Conway APPRZ V• . ASIna.lette a e'• Mike Fre= a. , ting Chair Pro-Tern dunty ttorney t liam F. Garcia Date of signature: Th S- r •+�,, `. 2014-1683 AS0087 11111111111111111111 Y002 � $ 07.69 e �K. 00020I 1513 JUL 11 01 l 7004 2890 0003 5708 9653 MAILED FROMZ6+6ODE 30631 CLERK TO THE BOARD 1150 O STREET PO BOX 758 r� R GREELEY CO 80632 cps TY ATTN: SAFEWAY, INC.ACCOUNT MANAGER ASSESSMENT TECHNOLOGIES, LTD. 121 INTERPARK SUITE#308 SAN ANTONIO,TX 78216 RECEIVED BY 101.1 4 1014 ASSESSMENT TECHNOLOGIES PETITION TO STATE BOARD OF ASSESSMENT APPEALS For Office Use Only 1313 Sherman Street, Room 315 Phone: (303) 864-7710 Denver, Colorado 80203 Fax: (303) 864-7719 Docket No. Fee: Y N Check/Credit Card i Date: 8/8/2014 P F v Property Owner: Safeway, Inc. Subject Property: 3526 W 10th Street Greeley Street Address City Schedule Number(s): P0004634 Attach separate sheet if necessary ❑ oard of Equalization Appeals the decision of the Weld oard of Commissioners Dated: 6/9/2014 County ❑State Property Tax Administrator This Appeal concerns: OValuation 0 Refund/Abatement O Exemption ❑State Assessed Tax Year: 2012 The subject property is currently classified as: ❑Agricultural O Commercial 0Exempt O Industrial [Nixed Use ❑NaturalResources ❑Oil &Gas 2 Personal ❑Possessory O Producing ❑Residential OState Assessed ❑Vacant Land Interest Mines Actual Value assigned to subject property: $1,450,118 Petitioners estimate of value: $580,047 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: O Petitioner will be present at the hearing ❑Petitioner will appear by telephone 0 Petitioner will be represented by an agent Petitioner is responsible for calling the Board at 303-8665880 0 Petitioner will be represented by an attorney on the scheduled date and time of hearing(Mountain Time Zone) O Petitioner would like to appear by video conference Petitioner must contact the Board at 303-866-5880 at least 20 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$10,000,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 as of August 7,2013.A trust filing a petition as of August 8,2012 may be represented by a trustee,an attorney or an agent. Filing Fee: P 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). O $ 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 Property not assessed at fair market value-including adjustments for obsolenscence. Required attachments to this form: O Assessor's or Property Tax Administrator's Notice of Valuation or Notice of Denial O Decision of County Board of Equalization, County Board of Commissioners or Property Tax Administrator Attachments required under certain circumstances: O A notarized Letter of Authorization if an agent will be representing Petitioner O 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: 0 Board of Equalization Weld Li Board of Commissioners county 0 State Property Tax Administrator at the following address: 1150 O Street, PO Box 758, Greeley, Colorado 80632 on 8/8/2014 . 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 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 8/8/2014 Date (One copy may be faxed to the Board but the original and two additional copies must be mailed or hand delivered.) Petitioner's Malting Address is Required Even if Petitioner is Represented by An Agent or Attorney (per C.R.S. 39-8-109 Si ature of Agent ® or Attorney O Signature of Petitioner James Hausman Safeway, Inc. Printed Name Printed Name 121 lnterpark Blvd., Suite 308 1371 Oakland Blvd., #200 Mailing Address Mailing Address San Antonio, Texas 78216 Walnut Creek, CA 94596 City, State,Zip Code City, State, Zip Code Telephone: 210-222-1221 Telephone: 925-938-2244 x300 Daytime number E-Mail: Safeway@atechltd.com E-Mail: donn.matsuzaki@safeway.com Attorney Reg. No.: 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 Web at www.dola.Colorado.gov/baa or may be requested by phone at 303-866-5880. • PETITION FOR ABATEMENT OR REFUND OF TAXES County: Weld CO Date Received ,90/5-46V (Use Assessor's or Commissioners'Date Stamp) Section I: Petitioner,please complete Section I only. Date: 12/23/2013 Month Day Year Petitioner's Name: Safeway Inc Petitioner's Mailing Address: 1371 OAKLAND BLVD 200 WALNUT CREEK CA 94596 City or Town State Zip Code SCHEDULE OR PARCEL NUMBERS) PROPERTY ADDRESS OR LEGAL DESCRIPTION OF PROPERTY P0004634 3526 W. 10 St. Petitioner requests an abatement or refund of the appropriate taxes and states that the taxes assessed against the above property for property tax year(s) 2011 and 2012 are incorrect for the followingy a le describe describe why the taxes have been levied erroneously or illegally,whether ilu in rity in levying,clerical error or overvaluation. Attach additional sheets if necessa 0 Property nt ySsp IViEvJet value-including adjustments for obsdd��l�� e" 33�.. RtVG V GV DEC 31 2013 MAY 0 9 2014 WELD COON � i r�bf)c5SOR WELD CO^UrN'TY GR.cELEY- CC_)LL;,eAD Petltlonet�.,,,jI#SS1 ER$ 6645,998 (______2011 )and =580,047 (____2012 ) N)1 ��''' Value Year 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. Daytime Phone Number J ) °�p6 a Sig//na//t're By CLPetition (t / 4"-- Daytime Phone Number j?1 ti) 22 2- 1 ZZ ) Agent's Signature' '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: Assessor's Recommendation ll T (For Assessors Use Only) Tax Year)'01 I Tax Year a0 l balls p Assessed I Agjal 4 DA Origins !)(014 ; 995 ' 6(35o �. 485(0.184 t-19.) IlK Sy ?ofca0 S )&3. v_7 Dan.tt. Ito 141 R45 f�R(s� E3 � ,S i lt4S?J y zu� 3a,2 3, 6,�( AbatelRefund 4 P 9 c25- Y lr� ❑Assessor recommends approval as outlined above. If the request 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 fled and a Notice of Determination has been mailed to the taxpayer,§39-10-114(1)(a)(p(D).C.R.S. Tax year. Protest? 0 No 0 Yes (1f a protest was filed,please attach a copy of the NOD.) Tax year. Protest? ❑No ❑Yes (If a protest was flied,please attach a copy of the NOD.) Assessor recommends denial for the following reason(s): VQ\Lad C.Onr"4-1 L1 CACc oLciArt ho f( 1 f rtailJ--L-w4 . r sees s Depu Ass tors ature 15-OPT-AR No.920.66/11 l (� SAFEWAYINc. `� 591$STONERIOGE MALL ROAD • PLEASANTON.CA 91618-3229 January 24,2014 RE: Appointment of Agent Safeway,Inc. To Whom It May Concern: Please be advised that the firm of Assessment Technologies, Ltd.,("ATLTD")has been retained and granted power of attorney to represent the interests of the entity Safeway,Inc.with respect to all property tax issues and matters regarding all business personal property accounts with your office, including but not limited to abatements and appeals for 2011,2012 and/or 2013. Communications related to the appeals process should be mailed to: Assessment Technologies,Ltd. 121 Interpark,Suite 308 San Antonio, TX 78216 Attn:Safeway,Inc.Account Manager Thank you tar your assistance in this matter. If you should have any questions or concerns please contact Heather Chamhless,Account Manager at (210) 222- 1221 or by email at hchamblesstiPatechltd.corn. Sincerely, Donn Matsuzaki Asst Tax Manager SEE ATTACHED CALIFORNIA NOTARIAL CERTIFICATE a• Recycled tali Paper • CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California • County of Contra Costa • On �th. II o6le•f before me, "3YDDIC Ihur5lir Notary Public (Hers inert name and title of the officer) • personally appeared —Dunn "14}$USA t who proved to me on the.basis of satisfactory evidence to be the person whose flamer/lace subscribed to the within instrument and acknowledged to me thathe/they le executed the same i her/their authorized capacity ,.and that b1 '� lher/their signature(gon the instrument the person a), or the entity upon behalf of • which the person )acted,executed the instrument I certify under PENALTY OP PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. BROOK THURST0N S my hand and official seal. ommission•2037636 "•�?� Notary Public-eautornls J �s n f • Contra Costa County Comm.E Ira 16 2017 Si to y • u �— ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM DESCRIPTION OF THE ATTACHED DOCUMENT Any above the nowledgment ame a Cr a eda ataa contain rent verbiage em at be appears my mean a a senate aebwtleaYmw farm mart be ambit properly completed mid attached to that document The.only merlon is (f a docrat �-� ackno le g ro tea recorded o nay epentf ad onla.A k a WmwuJ cry ng as th (fide or deseripucn of acknowledgment verbiage as stay be prated on nth a dra:vmme so loaf as the verbiage does not require the notary to do something that is Inefd for a nanny in • Callfamra tie,urry/yag the m dhmted capacity of the signer).Please cheek the (Tide or description ofsaehed document continued) document cmyrdiyfmpropernmorfal wording and attach deform Vreeland Number of Pages 2. Document Date I/af4 I I L • Stan end County information must be the Sate end Cony afire the document C111Ckt�t � signer(s)pasonallyappeared before the notary public for eeimowledgmem. ng 'fiti S ' U • Dab of notarization out be the des that the sigaer(e)psswmlty appeared which • (1 must elso he the same dab the acknowledgment is completed. (Additional Information) • The notary public must print his or her name as it apprise within his or her • commialm followed by a comma and then your tide(notary public). • Print the mme(a) of document signets)who personally appears at the time of notarization CAPACITY CLAIMS BY TIM SIGNER • Indicate the correct sinpdc or plural fonts by crossing off lococoet forms(La. CC Individual(a) Wshepheyr is/ate)or circling the correct forma.Failure U caraeny indicate this /ti Information may lead to rejection of demand recording. 0 Corporate Officer • The notary seal impression must be clear and phatographiwlly reprdueble. Impression mug not cover tart or line If seal Impression smudge;n•sal if a (Title) staled area pared%otherwise complete a differ-at acbmwldament form ❑ Partner(s) • Signatae of the notary public must match the signature on file with the office of the county ark. ❑ Attorney-in-Fact P Additional information is not required but could help to tunas this O Trustee(s) eclmowledgment Is not minced a attached to a different document ❑ Other ' + Indicate title or type of attached document,number of pages and data. •t• Indicate the capecity claimed by the signer.If the claimed capacity is a • corporate officer,indicaa the title(re.CEO,CFO,Secretary). • Securely attach this document to the signed document 2008 Venicn CAM v1110.07 800.573.9865 www.NoteryClas+a.com • CLERK TO THE BOARD PHONE: (970) 336-7215, Ext. 5226 1$fjl FAX: (970) 352-0242 J 1150 O STREET P.O. BOX 758 I I l� GREELEY, COLORADO 80632 mesU G O U N I I RECEIVED BY JUL 1 4 2014 July 9, 2014 ASSESSMENT TECHNOLOGIES Safeway, Inc. 1371 Oakland Blvd Suite #200 Walnut Creek, CA 94596 RE: SCHEDULE NUMBER: See Attached List Dear Property Owner: On June 9, 2014, the Board of Weld County Commissioners considered your petition for abatement or refund of taxes and denied same. Pursuant to Section 39-2-125(f), C.R.S., 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: 303-866-5880 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.dolastate.co.us/baa/index.htm Very truly yours, UPI0CI a jcitkiLLH Rafaela A. Martinez —� Deputy Clerk to the Board cc: Assessor RM/eg 2011 AND 2012 PETITION FOR ABATEMENT-SAFEWAY, INC PAGE 2 List of Schedule/Parcels: Owner Name County Schedule/Parcel Property Address Safeway Weld CO P0004635 1122 Ave Greeley Safeway Weld CO P2408703 1300 Dexter St. Ft. Lupton Safeway Weld CO P1809301 1535 Main St. Safeway Weld CO P1962001 1535 Main St. Safeway Weld CO P2027402 8134 14 Cr. Road Safeway Weld CO P2722504 4548 Centerplace Dr. Safeway Weld CO P3012005 4632 Centerplace Dr. Safeway Weld CO P0004634 3526 W. 10th St. Safeway Weld CO P2027302 8206 13 Cr. Road RESOLUTION RE: ACTION OF THE BOARD CONCERNING PETITION FOR ABATEMENT OR REFUND OF TAXES - SAFEWAY, INC. (9 PARCELS) 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 9th day of June, 2014, at which meeting there were present the following members: Acting Chair Pro-tem Mike Freeman, and Commissioners Sean P. Conway, and William F. Garcia, with Commissioners Doug Rademacher and Barbara Kirkmeyer excused. 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, Christopher Woodruff, being present, and taxpayer, Safeway, Inc., not being present, and WHEREAS, the Board of County Commissioners has carefully considered the attached petitions for 9 parcels, 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. CORRECTION PARCEL TO ASSESSED ABATEMENT TAX NUMBER VALUATION OR REFUND YEAR P0004635 $0.00 $0.00 2011/2012 P2408703 $0.00 $0.00 2011/2012 P1809301 $0.00 $0.00 2011/2012 P1962001 $0.00 $0.00 2011/2012 P2027402 $0.00 $0.00 2011/2012 P2722504 $0.00 $0.00 2011/2012 P3012005 $0.00 $0.00 2011/2012 P0004634 $0.00 $0.00 2011/2012 P2027302 $0.00 $0.00 2011/2012 2014-1683 AS0087 TAX ABATEMENT PETITION - SAFEWAY, INC. (9 PARCELS) PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 9th day of June, A.D., 2014. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: a ��,/ EXCUSED C �'CJto•�,� Douglas Rademacher, Chair Weld County Clerk to the Board EXCUSED Barbara Kirkmeyer, Pro-Tem BY: Clerk to . �Ia d 1 ' D y Clerk to the Board Sean P. Conway APPR• r. D AS : e I W141.-In. Mike Fre= a. ing Chair Pro-Tern dunty A ttorney4.4 �,,+ , �^ liam F. Garcia MSTitcp Date of signature: 7-S- `� �. 2014-1683 AS0087 �l'171711.i M 1717QN i.R1lI�1R®7� iY (.Y r 3 ' '.. I i III IIII II I I Ell � � _02 IR • $ 07.61m_ �'3 0aantisi3 Jut. :I MI I 7004 2890 0003 5708 1653was_IN • MAILED FROM ZIP CODE 80 031 eliPPCLERK TO THE BOARD 1150 O STREET 1'1•,J' ^' _ y� PO BOX 758 • r V GREELEY CO 80632 ATTN: SAFEWAY, INt.gGGOUNT MANAGER ASSESSMENT TECHNOLDGIES,LTD. 121 INTERPARK SUITE#308 SAN ANTONIO,TX 78216 • REOENEO gY NL 1 4 1014 ASSESSMENT TEOHNOLOGIES hhli°i' I'II! IiP• i�iilih!il �'u 'Ihli'!I � �� , 1861 CLERK TO THE BOARD f �� PHONE (970) 336-7215, EXT 4226 FAX (970) 352-0242 WEBSITE: www.co.weld.co.us 4.) 1150 O STREET P.O. BOX 758 COUNTY__. GREELEY CO 80632 July 31, 2014 SAFEWAY INC C/O CPTS NO. 1045 1371 OAKLAND BLVD STE 200 WALNUT CREEK, CA 94596-8408 RE: THE BOARD OF EQUALIZATION 2014, WELD COUNTY, COLORADO DENIAL OF PETITIONER'S APPEAL AND AFFIRMATION OF ASSESSOR'S VALUE ACCOUNT NO.: See Attached Dear Petitioner: On July 29, 2014, 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 petition for appeal of the Weld County Assessor's valuation of your property described above, for the year 2014. The Board of Equalization found that the evidence presented at the hearing supported the value placed upon the above-described property as set forth below. Such evidence indicated the value was reasonable, equitable, and derived according to the methodologies, percentages, figures and formulas dictated by law. This decision is based upon the Board's analysis of the written and oral testimony presented by both parties. Further that it is the Board's decision that the taxpayer/did not present sufficient evidence to show that the value of the property was not reasonably valued by the Assessor. The Assessment and valuation of the Weld County Assessor was affirmed as follows: ACTUAL VALUE AS ACTUAL VALUE AS DETERMINED BY ASSESSOR SET BY BOARD $4,759,122.00 $4,759,122.00 2014-2346 AS0088 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. All appeals to the Board of Assessment Appeals filed after August 10, 2014, MUST comply with the following provisions of C.R.S. Section 39-8-107(5): (5)(a)(I) On and after August 10, 2014, 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) Alf 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 attomey and shall be 2014-2346 AS0088 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 disclos ire 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. 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 2014-2346 AS0088 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. If you have questions concerning the above information, please call me at (970) 336-7215, Ext. 4226. Very truly yyo�ur�ss,, � Est erh E. Gesfck, •.4 ECl� 8Yfie Board Weld County Board of County Commissioners Cc: Christopher Woodruff, Weld County Assessor ATTN: SAFEWAY INC ACCOUNT MANAGER ASSESSMENT TECHNOLOGIES LTD 121 INTERPARK STE 308 SAN ANTONIO, TX 78216 2014-2346 AS0088 Accounts for Petitioner: SAFEWAY INC Account: Assessor Value: CBOE Value: P0004634 $1,105,127.00 $1,105,127.00 P0004635 $390,415.00 $390,415.00 P1809301 $706,593.00 $706,593.00 P2027302 $83,477.00 $83,477.00 P2027402 $714,255.00 $714,255.00 P2408703 $766,041.00 $766,041.00 P2722504 $993,214.00 $993,214.00 Weld County CHRISTOPHER M. WOODRUFF COUNTY ASSESSOR BRENDA DONES DEPUTY ASSESSOR VALUATION REPORT OF PERSONAL PROPERTY FOR County Board of Equalization Safeway Inc PETITIONER Vs. WELD COUNTY ASSESSOR'S OFFICE RESPONDENT Schedule Number: P0004634 +6 Log Number: 7637 Date: 7/29/2014 Time: 04:30 PM Board: Board #1 PREPARED BY APPRAISERS NAME Sean McElroy 07/23/14 Signature Date ASSESSOR'S OFFICE STAFF APPRAISER 2014-2346 Personal property is everything that is the subject of ownership and that is not included in the term 'real property'. This includes machinery, equipment and other articles related to a commercial or industrial operation that are either affixed or not affixed to the real property. Personal Property values shall be determined by appropriate consideration of the Cost Approach, Market Approach, and Income Approach to value. § 39-1-103(5)(a) C.R.S. ASSESSOR'S CURRENT VALUE Location of the subject property is: Account # Location Actual Value P0004634 3526 W 10 ST Greeley $1,105,127.00 P0004635 1122 11 Ave Greeley $390,415.00 P1809301 1535 Main St Windsor $706,593.00 P2027302 Fuel at 8206 Colorado Blvd Firestone $83,477.00 P2027402 8206 Colorado Blvd Firestone $714,255.00 P2408703 1300 Dexter St Fort Lupton $766,041.00 P2722504 4548 Centerplace Dr Greeley $993,214.00 Total $4,759,122.00 COST APPROACH NARRATIVE The values on these accounts were originally derived from an asset listing supplied by the petitioner with their 2014 Personal Property Declarations. The declarations were sent electronically to our office by the taxpayer and they were reviewed and valued by our appraiser. They included 3,308 pieces of equipment. The declarations were signed by the owner/agent declaring that the information provided on the declarations included a full and complete list of property and that no attempt had been made to mislead the Assessor as to its age, quality, quantity or cost. The Colorado Division of Property Taxation (DPT) publishes tables that are used in the cost approach to establish the value. An inflation factor is used to calculate the replacement cost new (RCN) values for all reported equipment. Then an economic life for the equipment is determined and an age for the equipment is calculated. With an economic life and an age determined for the equipment, a percent good is applied to the RCN value for the equipment to find the replacement cost new less depreciation (RCNLD) value. A level of value (LOV) is then applied to the RCNLD to reach the actual value for the equipment. The LOV is used because §C.R.S. 39-1-104(12.3)(a)(I) requires personal property to be adjusted to the June 30 appraisal date. The DPT tables have been attached to this report. 2 After this the Assessor is required to apply any economic obsolescence that exists. We determined that economic obsolescence did not exist in the grocery industry. No evidence to the contrary has been provided or discovered. Below is a summary of the cost approach for Safeway Inc. COMPUTER 2002 1 12 $12,186.00 100% $12,166.00 7% $851 62 $851.6 COMPUTER 2003 1 11 $18,118.67 100% $15,118.87 7% $1,268.1] $1,268.1 COMPUTER 2004 1 10 $8,223.27 100% $5,223.27 7% $5]5.63 $5]5.6 COMPUTER 2005 1 9 $18,604.87 100% $18,604.87 7% $1,302,34 $1,302.3 COMPUTER 2006 1 8 $19,850.78 100% $49,850.]6 7% $3,489.55 $3,489.6 COMPUTER 2007 1 7 $49,79].58 100% $49,]9].58 7% $3.485.83 $3,485.6 COMPUTER 2008 1 6 $],253.40 100% $7.253 40 7% $507.]4 $50].] COMPUTER 2009 1 5 $12,601.88 100% $12,601.88 7% $882.13 $882.1 COMPUTER 2010 1 4 $6,902.08 100% $6,902.08 7% $483.15 $483.1 COMPUTER 2011 1 3 $18,369.46 100% $18,369.46 13% $2,388.03 $2,388.0 COMPUTER 2012 1 2 $82,024.]8 100% $82,024.78 23% $18,885.]0 $18,885.8 COMPUTER 2013 1 1 $8,853.40 100% $8,653.40 44% $3,80].50 $3,80.4 COMPUTER PERIPHERALS 1996 1 18 53,033 00 100% $3,033.00 7% $212.31 $212.3 COMPUTER PERIPHERALS 2000 1 14 $51,58].00 100% $51 557 CIO 7% $3,611.09 $3,811.0 COMPUTER PERIPHERALS 2001 1 13 $142,222.00 100% $142.222.00 7% $9,955.54 $9,955.5 COMPUTER PERIPHERALS 2002 1 12 $]],]91.00 100% $]],]9100 7% $5,445.3] $5,445.3 COMPUTER PERIPHERALS 2003 1 11 $ ,600.B8 100% $111,600.88 7% $],812.06 $],812.0 $27 COMPUTER PERIPHERALS 2004 1 10 $27,]37.86 100% $27.73].86 7% $1,941.65 51,941.6 COMPUTER PERIPHERALS 2005 1 9 $124,399.25 100% $124,399.25 7% $8,70.95 58,707.9 COMPUTER PERIPHERALS 2006 1 8 5]8,]6].12 100% $78,767.12 7% $5,5130 $5,513.6 9 COMPUTER PERIPHERALS 2007 1 7 $90,055.77 100% $90,055.]] 7% $6,303.90 $6,303.9 ' COMPUTER PERIPHERALS 2008 1 6 $]8,440.90 100% $]6,440.90 7% $5,350.86 $5,350.9 COMPUTER PERIPHERALS 2009 1 5 $148,969.44 100% $148,969.44 7% $10,42].86 $10,42].7 COMPUTER PERIPHERALS 2010 1 4 $99,820.06 100% $99,820.06 13% $12,976.61 $12,976.6 COMPUTER PERIPHERALS 2011 1 3 $53,648.11 100% $53,648.11 22% $11,802.58 $11,802.6 COMPUTER PERIPHERALS 2012 1 2 $23,183.85 100% $23,183.85 36% $8,346.11 $8,346.0' COMPUTER PERIPHERALS 2013 1 1 $21,208 10 100% $21,208.10 50% 510,604.05 $10,604.01 ELECTRONIC EQUIPMENT 1996 18 $5]0.00 113% $644 10 15% $96.62 ELECTRONIC EQUIPMENT 2000 14 $3.969.00 113% $4,484.9] 15% $672.]5 $872.7. ELECTRONIC EQUIPMENT 2001 13 $137,883.00 113% $155,80779 15% $23,371.17 $23,372.1. ELECTRONIC EQUIPMENT 2002 12 $96.592.00 113% $109.148.96 15% $16372.34 $18,372.SI ELECTRONIC EQUIPMENT 2003 11 $44,919.15 113% $50,]58.64 15% $],613.80 $)613.81 ELECTRONIC EQUIPMENT 2004 10 $58,427.62 113% $86,023.21 15% $9,903.48 $9,90341 ELECTRONIC EQUIPMENT 2005 9 $123,539.16 113% 5139,599.25 15% $20.939.89 $20,939.8'. ELECTRONIC EQUIPMENT 2006 8 5102,02.26 113% $116,358.85 15% 51],453.80 $1],453.81 ELECTRONIC EQUIPMENT 2007 7 $147,812.25 113% $167,02].84 15% $25.054.18 $25,054.11 ELECTRONIC EQUIPMENT 2008 6 $7,]62.16 109% $8,480.]5 19% $1,60.54 0.99 $1,591.4' ELECTRONIC EQUIPMENT 2009 5 $43,874.69 106% $46,50].17 30% $13,952.15 0.99 $13,812.6'. ELECTRONIC EQUIPMENT 2010 4 $4,895.97 107% $5,238.69 41% $2,14].86 0.99 $2.126.31 ELECTRONIC EQUIPMENT 2011 3 $41.116.21 104% $42,780.86 55% $23,518.47 0.99 $23,283.3: ELECTRONIC EQUIPMENT 2012 2 528.15941 101% $28.441.70 70% $19,908.70 0.99 519,709.61 ELECTRONIC EQUIPMENT 2013 1 $12,833.]0 100% $12,833.70 85% $10908.65 0.99 510,799 51 $ EQUIPMENT 1979 1 35 $3,513.00 138% $4,84].94 15% $]27.19 $727.1'. EQUIPMENT 1981 1 33 $13.038.00 138% 517.992.44 15% $2,698.87 $2,698.8- EQUIPMENT 1954 1 30 $13,201.00 138% $18,217.38 15% $2732.51 $2,]32.6 EQUIPMENT 1988 1 26 51,737.00 135% $2,39].06 15% $359.56 $359.51 EQUIPMENT 1996 1 18 $4,5]6.00 135% $6,314.88 15% $947.23 $9472 EQUIPMENT 2000 1 14 $23.465.00 138% $32,381.70 15% $4,857.26 $4,857.211 EQUIPMENT 2001 1 13 $141,43700 138% $195,183.06 15% $29,2]].46 $29,2]7.41 EQUIPMENT 2002 1 12 $571.406 00 138% $]88,540.28 15% $115,281.04 $118,281.0 EQUIPMENT 2003 1 11 $87,214.49 138% $120,356.00 15% $18.05340 $18,053.4 EQUIPMENT 2004 1 10 $15,1]5.91 134% $20,33572 22% $4,4]3.86 0.99 $4,429. EQUIPMENT 2005 1 9 59,835 72 125% $11,423.75 35% $5,722.32 0.99 $5,704 0.7: EQUIPMENT 2006 1 8 $717,224.16 119% $87,26341 35% 37723.27 0.99 3774471 EQUIPMENT 2007 1 7 512,23915 113% 513,994.67 43% 523 0.99 $57,065.9' EQUIPMENT 2009 1 6 512930.17 109% 67 51% $0,607.20 0.98 57,065 9 EQUIPMENT 2009 1 5 $$8,424.42 106% $1],014.33 59% 510 0.99 $$6,06831 EQUIPMENT 2010 1 1 4 $3,455.76 107% 53,593.19 76% 52.13143 0.99 56.704.3 EQUIPMENT 2011 1 3 51,555.68 104% 53,603.54 76% 52,345.29 0.99 $1,334.1: EQUIPMENT 2012 1 2 32.582.00 101% 47,69144 57% 26,614.29 0.99 26.3418 GAS TANKS 2001 2 13 $32,859.00 142% $46,049.19 57% 59 0.99 526.348 5 GAS TANKS 2002 2 12 51,727.96 141% 180,559.17 61% 137,222.71 0.99 135,850.2 GAS TANKS 2006 2 7 $151,727 5 .22 119% 27 79% $93$225.16 0.99 $135,220.95. GAS TANKS 2007 1 2 7 $932.07 113% $415.51 79% $422.35 0.99 $302.1 GAS ENE 919 2 3 $$1.430.0 104% $11,417.60 92% $11,223.14 0.99 $11,253.1. KITCHEN EQUIPMENT 1979 1 35 $9.224.00 132% 51 15% $823.35 $226.3 KITCHEN EQUIPMENT 1985 1 29 59.224 00 132% 517,553.36 15% $2,833.00 51.633.0'. KITCHEN EQUIPMENT 1969 1 26 $ 2,0600 132% $$2,720.52 15% $$ 03.00 $2403.0 KITCHEN EQUIPMENT 1969 1 25 52.061 00 132% $6,692.40 15% $4003.08 $003.01 KITCHEN EQUIPMENT 1991 1 23 $3,3550 00 132% $6422.60 15% 51.003 85 $1,064.21 KITCHEN EQUIPMENT 1995 1 19 55,343.00 132% 72,728.76 15% $964.31 $9152'. KITCHEN EQUIPMENT 1996 1 15 $55$ 29.00 132% 572569828 15% $10.918$1 .74 510$104 3. KITCHEN EQUIPMENT 1997 1 17 $490.00 132% $920.20 15% $889 02 52897. KITCHEN EQUIPMENT 1998 1 16 56.246.00 132% 74,244.72 15% $136.71 $ 36.7: KITCHEN EQUIPMENT 1999 1 15 $56,542.00 132% 153,554.24 15% $2$,033,24 511.136 7 5. KITCHEN EQUIPMENT 2000 1 14 5129,262.00 132% 5170.6284 15% $25.593.88 $25,59.003.2 KITCHEN EQUIPMENT 2001 1 13 $123.352.00 132% $149,624.64 15% 593 $22,443.61 KITCHEN EQUIPMENT 2002 1 12 51$3,452.20 132% $202,589.90 15 532388.49 $30,343.61 KITCHEN EQUIPMENT 2003 1 1$ 477 132% $$29,867.0901 15% $36,570.92 $30 KITCHEN EQUIPMENT 2004 1 10 $70,320.22 128% $24,384.14 22% 23,627.56 0.99 23,391 2'. KITCHEN EQUIPMENT 2005 1 9 $69,293.17 120% 577,608.15 43% $23,627 1 56 0.99 533,0372 KITCHEN EQUIPMENT 2007 1 7 $13,293.40 112%06 514,972.47 43% $57,635.96 0.99 $57,559.6'1 KITCHEN EQUIPMENT 2008 1 6 573.126.60 105% $78,7]3.01 51% 45,301.98 0.99 44,545.91 KITCHEN EQUIPMENT 2009 1 5 $ 2,45262 105% $52299.99 59% $95,767.99 0.99 $54,7503. KITCHEN EQUIPMENT 2010 $1 4 27.743.61 1 103% 99 76% 21,7 7 7.85 0.99 2100.6: KITCHEN EQUIPMENT 2011 1 3 $30,745.93 103% $30,745.93 76% $22281].25 0.99 $2000.fi 2 KITCHEN EQUIPMENT 2013 1 1 $3045.93 100% $30.745.93 92% $28.286.28 0.99 $288.003.31 3 ariats elti�' --•""a 0 0: 0 -5.4 .utaw$7566 w2ortw 56 RETAIL FF&E 1976 4 38 $388.00 130% $504.40 15% $7566 $75.f RETAIL FF&E 1977 4 37 $6,246.00 130% $8,119.80 15% $1,217.97 $1,217.9 RETAIL FF&E 1979 4 35 $19,686.00 130% $25,591.80 15% $3,838.77 $3,838.7 RETAIL FF&E 1983 4 31 $2,615.00 130% $3,399 50 15% $509.93 $509.9 RETAIL FF&E 1984 4 30 $26,144.00 130% $33,987.20 15% $5,098.08 $5,098.C RETAIL FF&E 1985 4 29 $6,799.00 130% $8,838.70 15% $1,325.81 $1,325.8 RETAIL FF&E 1986 4 28 $13,959.00 130% $18,146.70 15% $2,722.01 $2,722.0 RETAIL FF&E 1988 4 26 $25,890.00 130% $33,857.00 15% $5,048.55 $5,048..5 RETAIL FF&E 1989 4 25 $644.00 130% $837.20 15% $125.58 $125.5 RETAIL FF&E 1990 4 24 $34,015.00 130% $44,219.50 15% $6,632.93 $6,632.9 RETAIL FF&E 1991 4 23 $4,115.00 130% $5,349.50 15% $802.43 $802.4 RETAIL FF&E 1992 4 22 $415.00 130% $539.50 15% $80.93 $80.9 RETAIL FF&E 1994 4 20 $4,493.00 130% $5,840.90 15% $876.14 $876.1 RETAIL FF&E 1995 4 19 $30,796.00 130% $40,034.80 15% $6,005.22 $6,005.2 RETAIL FF&E 1996 4 18 $294,401.00 130% $382,721.30 15% $57,408.20 $57,408.3 RETAIL FF&E 1997 4 17 $37,175.00 130% $48,327.50 15% $7,249.13 $7,249.1 RETAIL FF&E 1998 4 16 $18,761.00 130% $24,389.30 15% $3,65840 $3,658.4 RETAIL FF&E 1999 4 15 $33,530.00 130% $43,589 00 15% $6,538.35 $6,538.3 RETAIL FF&E 2000 4 14 $876,829.00 130% $1,139,877.70 15% $170,981.66 $170,981.8 RETAIL FF&E 2001 4 13 $914,549.00 130% $1,188,913 70 15% $178,337.06 $178,337.3 RETAIL FF&E 2002 4 12 $1,530,620.00 130% $1,989,806.00 15% $298,470.90 $298,471.2 RETAIL FF&E 2003 4 11 $1,506,094.22 130% $1,957,922.49 15% $293,688.37 $293,688.4 RETAIL FF&E 2004 4 10 $201,299.08 130% $261,688.80 15% $39,253.32 $39,253.3 RETAIL FF&E 2005 4 9 $1,569,963.77 122% $1,915,355.80 21% $402,224.72 0.9 $398,202.4 RETAIL FF&E 2006 4 8 $161,017.52 117% $188,390.50 28% $52,749.34 0.9 $52,221..5 RETAIL FF&E 2007 4 7 $2,148,602.40 113% $2,427,920.71 36% $874,051.46 0.9 $865,310.7 RETAIL FF&E 2008 4 6 $474,207.02 109% $516,885.65 44% $227,429.69 0.9 $225,155.3 RETAIL FF&E 2009 4 5 $66,791.41 106% $70,798.89 54% $38,231.40 0.9 $37,849.1 RETAIL FF&E 2010 4 4 $76,283.51 107% $81,623.36 63% $51,422.71 0.99 $50,908.5 RETAIL FF&E 2011 4 3 $384,438.28 104% $399,815.81 73% $291,865.54 0.99 $288,946.9 RETAIL FF&E 2012 4 2 $359,099.39 101% $362,690.38 82% $297,406.11 0.99 $294,432.0 RETAIL FF&E 2013 4 1 $152,898.52 100% $152,898.52 91% $139,137.65 0.99 $137,746.3 SHORT LIFE 2004 4 10 $1,407.89 109% $1,534.60 15% $230.19 $230.1 SIGNAGE 1987 1 27 $7,082.00 138% $9,773.16 15% $1,465.97 $1,465.9 SIGNAGE 1988 1 26 $4,496.00 138% $6,204.48 15% $930.67 $930.6 SIGNAGE 1992 1 22 $2,667.00 138% $3,680 46 15% $552.07 $552.0 SIGNAGE 1994 1 20 $910.00 138% $1,255.80 15% $188.37 $188.3 SIGNAGE 1996 1 18 $4,390.00 138% $6,058.20 15% $908.73 $908.7 SIGNAGE 2001 1 13 $54,405.00 138% $75,078.90 15% $11,261.84 $11,261 8 SIGNAGE 2002 1 12 $180,909.00 138% $249,654.42 15% $37,448.16 $37,448.1 SIGNAGE 2003 1 11 $21,741.66 138% $30,00349 15% $4,500.52 $4,500.5 SIGNAGE 2007 1 7 $188,423 54 113% $212,918.60 43% $91,555.00 0.99 $90,639.4 SIGNAGE 2008 1 6 $136,205.31 109% $148,463.79 51% $75,716.53 0.99 $74,959.3 TOTAL $4,759,1< The cost trending factors are derived from Marshall Valuation Services. The economic life tables are developed from the IRS, Marshall Valuation Services and other sources. The percent good tables are assembled from the Iowa State University property retirement & depreciation studies. The minimum value on the general percent good table is 15% because Colorado is a value in use state. This means that nothing is ever fully depreciated as long as it is in use. For technologically advanced personal property the floor value is 7%. The actual value of $4,759,122 was established by classifying the assets reported on the declarations, the year they were purchased and their original cost, and then applying the appropriate tables and factors as mandated by the DPT through C.R.S §39-2-109(e). The Colorado Property Tax Administrator is required to... C.R.S. §39-2-109(e) To prepare and publish from time to time manuals, appraisal procedures, and instructions, after consultation with the advisory committee to the property tax 4 administrator and the approval of the state board of equalization, concerning methods of appraising and valuing land, improvements, personal property, and mobile homes and to require their utilization by assessors in valuing and assessing taxable property. Said manuals, appraisal procedures, and instructions shall be based upon the three approaches to appraisal and the procedures set forth in section 39-1-103 (5) 01. Such manuals, appraisal procedures, and instructions shall be subject to legislative review, the same as rules and regulations, pursuant to section 24-4-103 (8) (d), C.R.S. (emphasis added). COST APPROACH VALUE $4,759,122 MARKET APPROACH Pursuant to the Colorado Revised Statutes the Assessor has considered the Market Approach. This approach is an appraisal technique in which the market value estimate is predicated upon prices being paid in the actual market. It is a process of correlation and analysis of similar recently sold properties. The reliability of this technique is dependent upon: 1. The degree of comparability of each property with the property under appraisal; 2. The time of the sale; 3. The verification of the sale data; 4. The absence of unusual conditions affecting the sale. The purpose of this appraisal is to estimate the end user value and not a resale value. The market approach would be used when there are verifiable sales of equipment to the end user. Since there is insufficient verifiable sales information for all of the assets, the Weld County Assessor has not derived a value using the Market Approach. INCOME APPROACH Pursuant to the Colorado Revised Statutes the Assessor has considered the Income Approach to value on Personal Property. This approach considers value in relation to the present worth of future benefits derived from ownership and is usually measured through capitalization of a specified level of income. This approach is the least common approach used in the valuation of machinery and equipment, since it is difficult to isolate income attributable to such assets from the income attributable to the services received from the assets. Due to the insufficient information for the income on Personal Property, the Weld County Assessor has not derived a value using the Income Approach. 5 CONCLUSION The subject property has been classified as Personal Property for property tax purposes. Personal Property values shall be determined by appropriate consideration of the Cost Approach, Market Approach, and Income Approach to value. §39-1- 103(5)(a) C.R.S. The Assessor reviewed the Cost, Market and Income approach to value and due to the lack of information available for the Market or Income Approach, selected the Cost Approach as the most accurate method for determining the value. All equipment on the asset listing was classified based on its use and was trended and depreciated in accordance with the procedures published in the DPT manuals. The DPT manuals are binding on Assessors and we are required to use them. After consideration of the three approaches, it is the Weld County Assessor's request that the value of$4,759,122 be affirmed for the tax year 2014. FINAL VALUE $4,759,122 6 INDUSTRY CATEGORY TABLE Types of Personal Property Included in Industry Categories: Industry Category Table Industry Category Property Type Number 1 Average of All 2 Candy and Confectionery, Creamery and Dairy, Flour, Cereal and Feed, Garage, Meat Packing, Paint, Refrigeration and Rubber 3 Office Personal Property (excluding copiers and other technologically advanced personal property) 4 Retail and Wholesale Stores, Warehousing 5 Rental Furnishings, Apartments, Hotels and Motels 6 Banks, Savings and Loans, Restaurants and Lounges, and Theaters 7 Contractors' Personal Property 8 Laundry & Cleaning Personal Property 9 Industrial Bakery, Bottling, Canneries, and Fruit Packing 10 Brewing and Distilling, Cement, Clay Products, Glass, Metal, Logging, Metal Working, Mining and Milling 11 Manufacturing of Chemical, Electrical, Paper, Motion Pictures and Television, Printing, and Woodworking Personal Property 12 All Petroleum, Oil, Gas, Ethanol, Bio-diesel, and Textile 13" Computer and PC, Computer-integrated Personal Property, Telephone and Telecommunication Personal Property, and Copiers 14 Renewable Energy Personal Property P Y Source: Marshall Valuation Service. October 2013 *Please refer to Chapter 7, Special Issues, under Technologically Advanced Personal Property, for more information. 7 COST FACTOR TABLES 2014 PERSONAL PROPERTY COST FACTOR TABLE Industry Category Number 1 2 3 4 5 6 7 • 1988 1.82 1.79 1.67 1.79 1.79 1.72 1.84 • 1989 1.73 1.71 1.59 1.71 1.70 1.64 1.76 • 1990 1.69 1.66 1.55 1.66 1.66 1.60 1.70 1991 1.66 1.63 1.53 1.63 1.62 1.58 1.66 1992 1.64 1.60 1.52 1.61 1.59 1.55 1.63 1993 1.61 1.57 1.49 1.57 1.55 1.52 1.59 1994 1.57 1.53 1.46 1.51 1.50 1.47 1.55 • 1995 1.51 1.48 1.42 1.47 1.45 1.43 1.51 • 1996 1.49 1.46 1.39 1.45 1.43 1.41 1.48 ' 1997 1.47 1.44 1.38 1.42 1.41 1.39 1.46 acs 1998 1.46 1.43 1.37 1.41 1.40 1.38 1.44 1999 1.45 1.43 1.36 1.41 1.39 1.38 1.43 2000 1.43 1.40 1.34 1.39 1.37 1.36 1.40 . Q 2001 1.42 1.39 1.33 1.38 1.36 1.35 1.40 • R 2002 1.41 1.38 1.33 1.37 1.34 1.34 1.38 : 2003 1.38 1.36 1.31 1.35 1.33 1.32 1.36 2004 1.34 1.32 1.28 1.30 1.30 1.28 1.32 2005 1.25 1.23 1.21 1.22 1.23 1.20 1.24 2006 1.19 1.18 1.16 1.17 1.18 1.16 1.19 2007 1.13 1.13 1.11 1.13 1.14 1.12 1.15 2008 1.09 1.09 1.08 1.09 1.10 1.08 1.11 2009 1.06 1.06 1.05 1.06 1.08 1.05 1.08 • 2010 1.07 1.07 1.05 1.07 1.07 1.06 1.08 • 2011 1.04 1.03 1.03 1.04 1.05 1.03 1.05 ' 2012 1.01 1.01 1.00 1.01 1.02 1.01 1.02 2013 1.00 1.00 1.00 1.00 1.00 1.00 1.00 Source: Marshall Valuation Service, October 2013 8 COST FACTOR TABLES CONTINUED... 2014 PERSONAL PROPERTY COST FACTOR TABLE Industry Category Number 8 9 10 11 12 13 14 • • 1988 1.86 1.88 1.90 1.83 1.93 1.00 1.00 • 1989 1.77 1.77 1.81 1.73 1.83 1.00 1.00 1990 1.72 1.73 1.76 1.69 1.79 1.00 1.00 1991 1.69 1.70 1.73 1.68 1.74 1.00 1.00 1992 1.67 1.68 1.71 1.67 1.73 1.00 1.00 1993 1.64 1.65 1.69 1.66 1.71 1.00 1.00 1994 1.60 1.61 1.65 1.62 1.68 1.00 1.00 1995 1.54 1.55 1.59 1.54 1.62 1.00 1.00 1996 1.52 1.53 1.56 1.53 1.59 1.00 1.00 1997 1.49 1.50 1.55 1.51 1.56 1.00 1.00 its 1998 1.48 1.49 1.53 1.50 1.54 1.00 1.00 fli Sr 1999 1.48 1.49 1.52 1.51 1.53 1.00 1.00 E 2000 1.45 1.47 1.50 1.48 1.51 1.00 1.00 •C 2001 1.44 1.45 1.48 1.47 1.49 1.00 1.00 s. 2002 1.43 1.44 1.47 1.47 1.48 1.00 1.00 j. 2003 1.41 1.42 1.44 1.45 1.45 1.00 1.00 2004 1.36 1.37 1.39 1.39 1.40 1.00 1.00 2005 1.26 1.26 1.28 1.28 1.29 1.00 1.00 2006 1.20 1.20 1.22 1.20 1.22 1.00 1.00 2007 1.14 1.13 1.16 1.12 1.14 1.00 1.00 2008 1.10 1.08 1.11 1.07 1.09 1.00 1.00 . 2009 1.06 1.06 1.06 1.05 1.05 1.00 1.00 • 2010 1.07 1.07 1.07 1.07 1.06 1.00 1.00 • 2011 1.04 1.03 1.04 1.02 1.04 1.00 1.00 • 2012 1.01 1.00 1.01 0.99 1.01 1.00 1.00 2013 1.00 1.00 1.00 1.00 1.00 1.00 1.00 Source: Marshall Valuation Service, October 2013 9 COST FACTOR TABLES CONTINUED... 2014 FIXTURES/LEASEHOLD IMPROVEMENTS COST FACTOR TABLE Year Acquired Factor 1988 2.16 1989 2.12 1990 2.06 1991 2.04 1992 2.00 1993 1.91 1994 1.84 1995 1.79 1996 1.78 1997 1.72 1998 1.69 1999 1.65 2000 1.56 2001 1.55 2002 1.51 2003 1.48 2004 1.38 2005 1.30 2006 1.23 2007 1.17 2008 1.14 2009 1.14 2010 1.14 2011 1.10 2012 1.07 2013 1.00 Source: Marshall Valuation Service, October 2013 to ECONOMIC LIFE ESTIMATES PROPERTY TYPE Recommended Economic Life (years) COMMERCIAL Whoi1�k•mail p1rarlrnl;input), 9 Adding machines.calculators (; Ail terrain vehicles(ATV,}; (fur add'I intormntion.see Chapter 7) Amusement parks I Automated teller machines 1.4 T.%.LS): (see Chapter 7) C inn steer•ekett irtic txirttponents•ptnitxt t Structural housing I0 Attune Aulunernir skips 10 Hank vault doors 20 Barber and beauty shops 10 Cable television. Digital TV set-top boxes d* Subscriber converters.other than digital $ Test personal property --- R c t_)r1 nation personal property ) Satellite receiving ground stations y Distribution& subscriber connection property 10 I leadend personal property I I \iicroua%e systems tie Computers personal&accessories 3* Computers other and stand-alone peripherals •3* ('on putcr integrated personal property 4 Construction personal property. general Copiers 4• Data handling personal proper t).. except computers (, _— Electronic personal property.except computers or naming r. Ganrmg.•see Chapter l.lectrl,nic sea's.. slot machinesi ; sass.._.. __sass _ - Larger gaming personal property r eau.. tables' I l i (id% \ig styli r)!,'rs-i•ond;irrpr1•r,. • I.lectronic fuel puml" tietteral 1f1 --— ra -—--.. sass --- 1 itlks I e g .aho%e ground. propane. sept1:t Ili I.inks Ic fit.. bci.'ty ,round. ,iostihle-trailed., fuel I ?t) l drocie.l:t� (iol l':.irt• r, • I aundrti and dr. cieanmt.' i0 \ladlinery (not other+�ae I:;ted l _ I{:� .. -.. .. ......._._. _ - _ _.._. . .. /it '')';i;�:.'�ljy'1�1. 1hit ackli11 u11.1i (Wit_ ��: ( Rapt:, 1 1t0hi \lcrt•I :Irk: 0.11'1I1 in(pa!). tr (urrnnrc'rrial C r,ruirified riot ife.13 pine' .Iii „Iii•.,... :t • - : ; r'.. t .. . . :. . i ; ` •�.I.•. • IJ. I'•„I',•t•. I ...n!.',1 \t,u.l.i, 1. II lair N.,• .x• I • II ECONOMIC LIFE ESTIMATES CONTINUED... PROPERTY TYPE Recommended Economic Life (years) COMMERCIAL(continued) Office furniture 14) Pedicabs I() Photo processing personal property(electronic) 6 Port-alootty 10 Radio and television broadcasting 6 Recreation and amusement 10 Restaurant and bar ball) H) Renewable energy property _2O River Rafts 10 Shopping carts 5 . Signs(billboard and monument) 2O Sips lethal 10 Signs!electronic) 6 .Smut'•rut..: fft►r additional information see('hapter ') Heavy use(e.g..snowgrooming operations) 6 \loderate use i e.g., transportation operations I 10 .Srurage nutty. - - Tanks(e.g.. above ground.propane. septic) 10 Tanks . below ground.double-walled. fuel) 20 Telecommunication per:onal..property: 11 h Tech Iexcluding towers) .3` Theater 10 Towers 2() Typewriters 6 Vending machines 10 Video nlai;holes IarladcI 6 RESIDENTIAL/COMMERCIAL kc.ldential rental tilrm.hing, 111 Ajartment. hotel and motel furnishings II) —.._. %ATI R. I. RI:SOl'RCVS 1f ' In-tunic and �'e+n,netu lk' \II i.l`Gnc.. large:Palle: ith 50. !s"' 'ti ca): ..It\1 fit! I cctr►: nuninu s.hcnel; 1, t Mier rnnnnc. tltta,r.Il t. . milling personal ptopctt' It) Petroleum and Natural Crux l=.xploranon.dril)ul Illgh-t.vlrtioluic ditllnlL rig. It! I'ro:faction 14 \tarl.:tinti. r,t:lll ! ‘ta.atln.'r'. (not utlhel'.\,+l' I'+L't 1 lift Refiner_: I n Timhe'r I IIL`!IIrC h :.•Ir I.I.'. :!.rI?1.:1[411[ I 12 ECONOMIC LIFE ESTIMATES CONTINUED... PROPERTY' TYPE Recommended Economic Life (years) INDUSTRIAL Aerospace 10 Apparel and fabricated textiles 9 Bakeries and Confectionery 1 Brewery 12 Canneries and frozen food 12 Cement manufacture 20 Cereal, flour,grain and mill products 17 Chemicals and related products 1t) Clay and gypsum products 15 Concrete manufacture 15 Dairy products rnanutacturin 1.2 Electrical personal property manufacturing I0 Electronic personal property manufacturing ti Fabricated metal products I2 Food and heverage production 12 Special handling devices 4 Forklifts 10 Glass and glass product 14 Grain Bins ,0 Jewell). I2 I.umher, woodhroducts and furniture 14) Machinery (not othcrv.isc listed) It) Meat packing 12 Motion picture and tele%i.ion production 12 Paint and varnish II) Plastic'.and plastic pri duce — — --- I 1 Printing and I 1 Professional and scientitie instruments I11 Paperhi'ard and pulp 10 R0+,1.products 14 Rctinin personal pruperty i(. Semi r,nrlrn.Ynr',weirdo, rurint,,' -- -- ReNcarch and de.clonrncnt Z fesi per;rna! preipk.rI. ; • Water fabrication Solt drink bottline' 12 Spec.11 tool,tal. utdu.tr s.%) sick. and t k...sti d stun hro.l'.t:l> I proditi'• I I) .t.u,t. ,r f't„1,,, t. I ..,a r. S.•,i::. ,s I.R s 13 PERCENT GOOD TABLES 2014 GENERAL PERCENT GOOD TABLE Average Economic Life in Years 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 1 68 76 82 85 88 90 91 92 93 94 95 95 96 96 97 1 97 97 98 2 38 53 63 70 75 79 82 84 86 88 89 91 92 92 93 ' 94 94 95 3 17 33 46 55 62 68 73 76 79 82 84 85 87 88 89 90 91 92 4 15 18 30 41 50 57- 63 68 72 75 78 80- 82 84 86 87 88 89 5 j 15 18 30 38 47 54 59 64 68 72 75 77 79 81 i 83 85 86 6 15 19 28 37 44 51 57 61 65 69 72 75 77 ' 79 81 83 7 ; 15 20 29 36 43 49 55 59 63 67 70173 75 77 79 8 15 21 28 35 42 47 53 58 62 6568 ` 71 74 { 76 9 15 21 28 34 41 47 52 56 60 63 67 7072 10 15 22 28 35 40 45 50 55158 } 62 66 ; 69 4.0 ac 11 15 23 28 35 40 46 50 53 58 62 1 65 12 19 24 28 34 40 45 48 : 53 ; 58 61 ! °' 13 15 20 24 31 34 40 43 49 53 57 14 15 22 25 3 I ;6 39 45 49 ' 53 15 16 20 26 1 31 36 41 45 49 n 16 15 18 21 27 32 36 41 45 17 15 20 22 27 32 37 41 18 L! 22 . L 37 y 18 19 24 29 33 20 15 16 21 26 30 21 IS 18 22 27 22 15 19 24 17 21 24 15 19 , 25 17 26 15 Source: Division of Property I a\ation Rate Applied: 8.8" 14 PERCENT GOOD TABLES CONTINUED... 2014 TECHNOLOGICALLY ADVANCED PERCENT GOOD TABLES Using market studies, the following table has been developed for Personal Computers (PCs) and Accessories: THREE-YEAR ECONOMIC LIFE TABLE Percent Good 1 44% G, D,c 2 23% 3 13% 4 7% Source: Division of Proprrty Taxation Using market studies, the following table has been developed for Other Computers and Stand Alone Peripherals: FOUR-YEAR ECONOMIC LIFE TABLE Percent Good 1 50% 2 36% s: 3 22% 4 13'%, 5 / Source: Division of Property T.i\A non I5 LEVEL OF VALUE FACTORS 2014 PERSONAL PROPERTY LOV FACTOR TABLE June 30.2012 Level of Value Industry Category Number LOV Factor 1 0.99 2 0.99 3 1.00 4 0.99 5 0.98 6 0.99 7 0.98 8 0.99 9 0.99 10 0.99 11 1.01 12 0.99 13 1.00 14 1.00 Fixtures & Leasehold Imps 0.95 Source: Division of Property Taxation and Marshall Valuation Service 16 r i NOTICE OF DETERMINATION Christopher M. Woodruff Date of Notice: 7/10/2014 Weld County Assessor Telephone: (970) 353-3845 1400 N 17th Ave Fax: (970) 304-6433 Greeley, CO 80631 Office Hours: 8:00 AM - 5:00 PM www.weldgov.com LEGAL.RESCRIPTIONt•PKYSICAL'LOCATION ACCOUNT NO. TAX YEAR TAX AREA -• • P0004634 2014 10600 GR BSN1-A BITTERSWEET NORTH 3526 W 10 ST GREELEY, CO iSAFEWAY INC C/O CPTS NO. 1045 a 1371 OAKLAND BLVD STE 200 WALNUT CREEK,CA 94596-640B ii x ! r . • ASSESSOR'S VALUATION,:!:;'. • .. • PROPERTY CLASSIFICATION ACTUAL VALUE PRIOR TO . ACTUAL VALUE AFTER REVIEW REVIEW PERSONAL PROPERTY 1,105,127 1,105,127 TOTAL $1,105,127 51,105,127 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: PP0f - Your personal property has been valued in accordance with Colorado law. Other personal property, similar in nature, has been consistently valued using the same statutory methods. 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. RECEIVED Ct: eicfi) JUL 2 2 2014 7- 2z WELD COUNTY COMMISSIONERS '.5-CPT-AR PR 207.06113 P0004634 21267 APPEAL PROCEDURES County Board of Equalization Hearings will be held from July 1 through August 5 at 1400 N 17 AVE. 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 20 for personal 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 12, § 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.00v/baa telephone number. Binding Arbit!ation For a list of arbitrators, contact the County Commissioners at the address listed for the County Boara 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 i What is your estimate of the property's value as of June 30, 2012? (Ycur opinion of value .n terms of a specific dollar amount is required for real property pursuant to § 39-8-106(1.5), C.R.S.) $ 198,688 What is the basis for your estimate of value or your reason for requesting a review? (Please attach additional sheets as necessary and any supporting documentation, i.e , comparable sales, rent roil, original installed cost, appraisal. etc.) Property not assessed at fair market value-including adjustments for obsolescence I ATTESTATION j I. the undersigned owner or agent' of the property dentified above, affirm that the statements contained herein a on any att cchments hereto are true and complete. 'l'gV, 2\----'-- 210-222 1221 7/16/2014 12:00:0( nature Telephone Number Date Email Address ihausmant atechltd.com - P0004634 4211 ' Attach letter of authorization signed by property owner. 15-OPT-AR PR 207-08/13 P0004635 21603 i l� 59It ST0NERI0GESAFEV MALL MAO • PLEASANT0N, CA 940&3229 RECEIVED January 24,2014 JUL Z 2 2014 WELD COUNTY COMMISSIONERS RE: Appointment of Agent Safeway, Inc. To Whom It May Concern: Please be advised that the firm of Assessment Technologies, Ltd., ("ATLTD") has been retained and granted power of attorney to represent the interests of the entity Safeway, Inc.with respect to all property tax issues and all matters with your office. Communications related to the appeal process should be mailed to: Assessment Technologies, Ltd. 121 Interpark,Suite 308 San Antonio, TX 78216 Attn:Safeway, Inc. Account Manager Thank you for your assistance in this matter. If you should have any questions or concerns please contact Heather Chambless,Account Manager at (210) 222.1221 or by email at hchamblessaatechltd.com• Sincerely, , ("11), ti) Donn Matsuzaki Asst. 'fax Manager S.ileway, Inc. t CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT RECEIVED State of California • County of Contra Costa JUL 21 2014 WELD COUNTY • ^ - • _ COMMISSIONERS On tth. II I Obit/ before me, esreoL Ihur5hin Notary Public (Noe Mood name ad tide of the officer) • personally appeared 111th gu-A t i r who proved to me on the.basis of satisfactory evidence to be the person whose name sire subscribed to • the within instrument and acknowledged to me that y(she/they executed the same i her/their authorized capacity ,.and that b f l' ter/their signature(.%on the instrument the personf1J,or the entity upon behalf of • which the person acted,executed the instrument • • I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct BROONTHURSTON'WITNESS my hand and official seat - commission♦2037638 rc::: p.?. Notary Pu$c-California < rei Contra Costa County Comm. ire; to 2017 Signo. , al miry ADDITIONAL OPTIONAL INFORMATION • INSTRUCTIONS FOR COMPLETING THIS FORM Any acbrwledanna comp/sred be CallJ6rrao nest contain verbiage exactly as DESCRIPTION OF TiE ATTACHED DOCUMENT appears aeon to the musty section or a nearer.acknowledgment fame must be properly completed and attached to that document The.only caption le Y a 1 n"iMXl I 1 ryt f� ►+ w doamnaa is to be recorded outside teCalbentla.fn nth bute s,arm alternative 1111 (Tltls or description of ettae docweet) acloleth neat verbiage as may be printed on such a document to long as the • V verbiage does not require the notary to do something that it Illegal fora notary in California(tut eerafytng the aahatsd capacity of the signer).Please dealt the (ride or description of earthed document contented) ted) document corgidly foe-popes Warfel aordfng and attach Want(I requbrd Number of Pages 2. Document Date I/V4114 • State end County information must be tba Slate end County when the document C11CIudtaigne(s)personally appeared before the notary public far eelmowdgment Fit l s pit) • Date afnotar zation must be the date that the signee(s)pamnally appeared which • a must else be the same dam die mknaw)ed8ment is completed. (Additional trhfonmaaon) • The notary public must print hi, or her name as it appears within his or oar • eaomiaim followed by e:coma and than your tide(notary public). a Print the name(s)of document sigrm(a)who personally appear)et the time of aatasiaaao. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off Incorrect forms(Le. Individual(s) Mvshefbe for yr is/an)or circling the coned ms.Future to correctly indicate this iSC LAonnadon may lead to rejecter ofdocumeet recording. ❑ Corporate Officer • The notary seat impression mutt be clew and photographically;reproducible I Impression must not clover teat or lines.If seal Impmvion nudges,re-seal if a (Title) sufficient are permits,olbeewisa complete s di8kreot acknowledgment font ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of ❑ Attorney-in-Feet the camay clerk. Additional lamination is not required but could help to muse this ❑ Trustee(s) edmowldgment Is not misused or attached toe different document O Other Indicate title or type of attached document,number of pages and date. ^ Indicate the capacity claimed by the riper. If the claimed capacity is a ' corporate officer,indicate the title(le CO.CFO,Secretary). Securely attach this document to the signed document r e 2008 Version CAPA v 110.07 800-873-9 863 ww w .NotaryClastescom 2 Co C) c > RECEIVED ``� JUL 2 2 201k V 4 WELD COUNTY .` k,' COMMISSIONERS ,o _ w° QiMilialiMMIIIIIM we EE — IL mu., — h ILL MSS g 1 �1 - 't0C I . - CIE cYij L.I.Jsari % N e = ' ` • p C EL ❑ W U a _- V 0 0 >; £ - 'o - O Chi_ a o d Q v = m .- a C7 a 0 N '0 00 r . Y O : �E O O C - Q . W G N N O N •-.M Cn 4 NOTICE OF DETERMINATION Christopher M. Woodruff Date of Notice: 7/10/2014 Weld County Assessor Telephone: (970) 353-3845 1400 N 17th Ave Fax: (970) 304-6433 Greeley, CO 80631 Office Hours: 8:00 AM - 5:00 PM www.weldgov.corn • LEGAL DESCRIPTION/PHYSICAL.LOCATION ACCOUNT NO, TAX-YEAR. TAX AREA, P0004635 2014 2689 GR 5292 BLK 86 1122 11 AV GREELEY,CO SAFEWAY INC C/O CPTS NO 1045 1371 OAKLAND BLVD STE 200 WALNUT CREEK,CA 44596-9408 O rY . • • ASSESSOR'S VALUATION • - . • PROPERTY CLASSIFICATION • • ACTUAL VALUE PRIOR TO ACTUAL VALUE AFTER • REVIEW • REVIEW PERSONAL PROPERTY 390,415 390,415 • • • TOTAL $390,415 $390,415 • 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: PPO1 - Your personal property has been valued in accordance with Colorado law. Other personal property, similar in nature, has been consistently valued using the same statutory methods. 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. et; (�(zCQ-A) RECEIVED 7- Z-L JUL 2 2 22 15-OPT-API WELD COUNTY PR 207-08/13 P0004635 21603 COMMISSIONERS 0 APPEAL PROCEDURES 1 County Board of Equalization Hearings will be held from July 1 through August 5 at 1400 N 17 AVE. 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 20 for personal 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 ail 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 12, § 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.clov/baa telephone number. Binding Arbitration Eor 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, 2012? (Your opinion cf value in terms of a specific dollar amount is required for real property pursuant to § 39-8-106(1.5), C.R.S.) $ 109,570 What is the basis for your estimate of value or your reason for requesting a review? (Please attach additional sheets as necessary and any supporting documentation, i.e., comparable sales, rent roll, original installed cost, appraisal, etc.) Property not assessed at fair market value-including adjustments for obsolescence ATTESTATION I. :he undersigned owner or agent.'of the property dentified above, affirm that the statements contained herein nc on any attachments hereto are true and complete. kA/k-/ 210-222-1221 7/16/2014 12:00:0( "nature Telephone Number Date Email Address jhausmanAatechltd.com P0004635 4204 Attach letter of authorization signed by property owner. 15-OPT-AR PR 207-08113 P0004635 21603 • ` l�J SAFEWAYIING `� 5915 STONERIOGE MALL ROAD • PLEASANTON,CA 94555-3229 January 24,2014 RECEIVED JUL 2 2 2044 RE: Appointment of Agent Safeway, Inc. WELD COUNTY COMMISSIONERS To Whom It May Concern: Please be advised that the firm of Assessment Technologies, Ltd., ("ATLTD") has been retained and granted power of attorney to represent the interests of the entity Safeway, Inc. with respect to all property tax issues and all matters with your office. Communications related to the appeal process should be mailed to: Assessment Technologies, Ltd. 121 bUerpark, Suite 308 San Antonio, TX 78216 Attn:Safeway, inc. Account Manager Thank you for your assistance in this matter. If you should have any questions or concerns please contact Heather Chambless, Account Manager at (210) 222-1221 or by email at hchambless@atechltd.com. Sincerely, I?nnn Matsuzaki Asst. 'Fax Manager S.ifew,Iy, Inc. f CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT RECEIVED State of California JUL 2 2 20%• County of Contra Costa WELD COUNTY COMMISSIONERS On $ h. I1 o7b1'i before me, eareol .. IhueSh•in Notary Public —burin- (line insert carne ad title of the officer)personally appeared 044 5u to,I:.t , who proved to me on the basis of satisfactory evidence to be the person whose name fire subscribed to • the within instrument and acknowledged to me thatCthelthey executed the same iCher/their authorized capacityc,.and that b#'her/heir signature(O'on the instrument the personf,aJ,or the entity upon behalf of • which the person acted,executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. , BROOK THURSTON WITNESS my hand and official seal s/!ri Commission r 2037638 / ::. 'I Notary Public-California ( -'C-!i, Contra Costa County Comm.E Tres 18 2017 Si totsry (No ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM DESCRIPTION OF TAB ATTACHED DOCUMENT oppugn acknowledgment completed I.. Calgbnda and ca st verbiage exactly as appemi abow fn the notary section or a separate acknowledgment form meat be ,/t properly completed and attached to that document The.only eruption fir if a }y,� (T r ryt�f� 111- docwnen fr ro be ncorded ovUede ofCalplunle.Am no hutaewx any alternative`l (Title Or description afatae doenimek) acknowledgment verbiage as nay be printed on serve a document so long as the V i verbiage does not return the notary to do something that Jbc is Illegal a notary Or I Conferee(It certifying the naharted capacity of the signer).Please check the (fits ordrxripfioaof&ached document continued) document cmytdyfarprugerlwterfa/muvdtagendalmch thLform If required • Number of Pages 2. Document Date 1 la' j i Li • State and Cotmty irdbrmetio mum be the Sete and County where the document CI/1C,Itadt signal.) ly appeared before the notary public for actiovdedpeent, I h(s , • Data of notarization tact be the data that the sig eda)personally appeared which must the be the a date the acknowledgement is completed. (Additional btfonnation) • The notary public must print his or her name a it sppears within his or her commialm followed by■memos and then your tide(notary public). • Pr e(s)of document signers)who personally appear at the time of notarization I CAPACITY CLAIMED BY THE SIGNER • Indicate the tonal ainedr or plural forms by craving off Incorrect tors(i.e. XrIndivittual(al be/shatheyr is tem)or circling the cooed forms.Failure to tastily indicate this Won atloa may led to rejection of document rteotding, ❑ Corporate Officer • me notary MI impreaioc must be tiler and photographically reproducible 1 Unprmion must not cone teat or lima If tad Impression smudges,re-seal if■ (Title) tufficiad area permits,o herwisl complete■different acknowledgment font ❑ Partna(e) • Signature of the notary public must meth the signalise on Ma with the office of the county cle& ❑ Attorney-in-Fact Additional intimation is not required but could help to ensure this i ❑ Trustee(s) acknowledgment Is not misused or embed to a different document. 0 Other Indicate title or typo of orated document,number of pages and data '} indicate the capecity claimed by the sign.If the claimed capacity IS a ' corporate officer,indicate the title(le CEO,CFO,Secretary). • Securely attach this document to the signed document ii e 2008 Vernon CAPA v:110.07800-877-9865 www.NoteryCtssseacom �.m ry i.:r3 RECEIVED a ' JUL 2 2 2Qt4 WELD NTY COMMISSIONERS L E_ _ 5, WO J - W `° Q `I's = a. iirilliNailliMIN °a ��r w° Er, 0 — Rit SS t r-o = e a ao — wa S _ a < � — C uj se...... N en " W N p S ow Ltw V C' '' - y Z Noo O F yo W � � U z o o >: £ -O b o La' m a m o p v ri _ XIHa. 0 a ) L N 00 ti) F t e o a c Q 0o c N O N r+) V) NOTICE OF DETERMINATION Christopher M. Woodruff Date of Notice: 7/10/2014 Weld County Assessor Telephone: (970) 353-3845 1400 N 17th Ave Fax: (970) 304-6433 Greeley, CO 80631 Office Hours: 8:00 AM - 5:00 PM www.wetdoov.com L:EGA1,DESCRIPTION/PHYSICAL LOCATION ACCOUNT NO. TAX YEAR TAX AREA ,,I.,. . P1809301 2014 O421 WIN 1HS L1-5 BLK1 HOEHNE 1ST FG 1535 MAIN I-_____ I ST WINDSOR, CO ' SAFEWAY INC C/0 OPTS NO, 1045 1371 OAKLAND BLVD STE 200 WALNUT CREEK,CA 94598.8408 a , ASSESSOR'S VALUATION ••;.,;:.;,, PROPERTY CLASSIFICATION ACTUAL VALUE PRIOR TO-' ACTUAL VALUE AFTER REVIEW 3', REVIEW PERSONAL PROPERTY 708.593 708,593 F- TOTAL $706,593 $706,593 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: PPO1 - Your personal property has been valued in accordance with Colorado law. Other personal property, similar in nature, has been consistently valued using the same statutory methods. 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. I' 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. . ��) RECEIVED -7-7,z JUL 222014 WELD COUNTY COMMISSIONERS 15-OPT-AR PR 207-0(113 P1809301 21231 APPEAL PROCEDURES County Board of Equalization Hearings will be held from July 1 through August 5 at 1400 N 17 AVE. 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 20 for personal 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 ofAssessment Appeals by September 12, § 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.00lgrado.gov/baa telephone number. Bindtnp Arbllration 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, 2012? (Your opinion of value in terms of a specific dollar amount is required for real property pursuant to § 39-8-106(1.5), C.R.S.) $ 191,321 What is the basis for your estimate of value or your reason for requesting a review? (Please attach acditional sheets as necessary and any supporting documentation, i.e., comparable sales, rent roll, original installed cost, appraisal, etc.) Property not assessed at fair market value-including adjustments for obsolescence I ATTESTATION I, the undersigned owner or agent' of the property identified above, affirm that the statements contained herein nd on any att chments hereto are true and complete. �(�? 210-222-1221 7/16/2014 12:00:0( S nature Telephone Number Date Email Address ihausman@atechltd.com P1809301 4206 ' Attach letter of authorization signed by property owner. 15-CPT-AR PR 207-08/13 P0004635 21603 i SAFEWAYING 591$6TONERIOGE 61Au.ROAD I PLF.I9ANTON, CA 9168!-3229 January 24,2014 RECEIVED JUL 222014 RE: Appointment of Agent WELD COUNTY Safeway, Inc. COMMISSIONERS To Whom It May Concern: Please be advised that the firm of Assessment Technologies, Ltd., ("ATLTD") has been retained and granted power of attorney to represent the interests of the entity Safeway, Inc. with respect to all property tax issues and all matters with your office. Communications related to the appeal process should be mailed to: Assessment Technologies, Ltd. 121 Interpark,Suite 308 San Antonio, TX 78216 Attn:Safeway, Inc. Account Manager Thank for you your assistance in this matter. If you should have any questions or concerns please contact heather Chambless, Account Manager at (210) 22.2-1221 or by email at bchamblessC°atechltd.com• Sincerely, r ��/ 'fl Bonn Matsuzaki Asst. 'fax Manager S ilew.iv, Inc. • CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California RECEIVED • County of Contra Costa JUL 222014 • On Fah. II Obl� before me, "Sroo1(... h 5}(m r(+n�ettLD C rrbltc (Flea insert mane and title of theatre 1� �+ • personally appeared —Dunn nil it E$u to t.1 • , who proved to me on the.basis of satisfactory evidence to be the person whose name ,re subscribed to • the within instrument and acknowledged to me thateheI hey executed the same iCher/their authorized capacity 04),,,,and that bleVherhheir signature(ff on the instrument the persona ,or the entity upon behalf of • which the persons)acted,executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct BR00NTMURSTON - WI�IESS my hand and official sear Commission♦2097636 :'•-1' Notary Public-California Xi-S-1.4/ Contra Costa County Comm. Ives to 2017 Si army (N 1 . r ADDITIONAL OPTIONAL INFORMATION • INSTRUCTIONS FOR COMPLETING THIS FORM DESCRIPTION OF ME ATTACHED DOCUMENT appears acknowledgment completed b Calebbtta mar caveat verlogt exactly as appears abort In the notary mean or a separate acbwwlsdgmem font mat be Appal �_- ,,l I ` properly competed and ataaald to that document the only capita, Is V a •C lnt2 it arc f is document le to be receded outside of California.be such tntlmrect any alternative (fins or description of ae4Vb1 ) aelaonkdamens verbiage as airy be printed m such a document so long as the verbiage does not require the notary to do sanding:that to illegal fir a notary in California(Le rarefying the authortsd capacity of the signer).Please(hack the (Tide ordcuxipeion of attached doomed continued) documsetr myWlyforpnpa notarial eard6ugand otmeh this/one(fngt6rr( Number of Paget 2, Document Date l/.. v f l q • state and Coady information must be the Seats and Carey where the dreamt CI M.audt signer')pay appeared before the rotary public for eacnonledgmmK )i'+t I S ) • Lab of notuetlion must be the data that the eigeer(s)pessonaly appeared which must eau be the tame deb the ucUrsledpment is completed. (Additional beorrnation) • The rotary public must print his o a her name as amen within his or het commission followed by a comma and then your Cede(notary public). • Print named of document signer(s)who penomily appear)at the time of p CAPACITY CLAIMED BY THE SIGNER • Lilian.the comet singular or plural forms by crossing off Incorrect forms(it ,CLr Individual(a) hehlwthay,-is fan)or circling the correct forms Feint to correctly indicate this intimation may lead to rejeetlm of daeumnt recording, ❑ Corporate Officer • The nor sal impression oust be clear and phetographiatly reproducible. Impression must not cover text or lines.If seal impassion smudges,re-seal if a (Title) retitled area permits,otherwise complete a different acknowledgment form. ❑ Partna(s) • Signet of the notary public must match die signature on file with the office of the county deck. ❑ Attorney-in-Fact Additional information is not required but could help to entire this ❑ Trustee(s) aS,owldgmem Is not misused or attached to a different document ❑ Other Indicate title o type of attached document number of pages and due. b Indicate the capacity claimed by the signer.If the claimed capacity is a I. corporate officer,Indicate the title(la CEO,CFO,Secretary). 1 • Securely ettash this document to the signed document ZOOS Venion CAPA v 121 On 100-173-9865 wvtw.NarmyClana.com RECEIVED �• JUL 222014 WELD COUNT 4 C0MMISSI0N._ 2 — 2 ❑ _ w y w, w pQ MIIIIMMIMEN w° W _ a SIMMS T, y Uj W _ 7. It M r N p 3 mw O C w2 —� IC pj t r - 'O O m a _ o a : 3m — i0 a A b N J CO 9 N ian F ' Y d e- o c Q — co N O cd — M VD . - NOTICE OF DETERMINATION Christopher M. Woodruff Date of Notice: 7/10/2014 Weld County Assessor Telephone: (970) 353-3845 1400 N 17th Ave Fax: (970) 304-6433 Greeley, CO 80631 Office Hours: 8:00 AM -5:00 PM www.weldgov.com LEGAL DESCRIPTION/PHYSICAL LOCATION ACCOUNT NO. TAXIEAR .;• • TAX AREA v,.,...::- P2027302 2014 2084 FIR FS L7 FIRESTONE SAFEWAY 8206 13 CR FIRESTONE,CO SAFEWAY INC CIO OPTS NO.1045 1371 OAKLAND BLVD STE 200 • WALNUT CREEK,CA 94595-8408 • "'` • •A',re :AS8E8OORB VALUATION PROPERTY CLASS)FICATlON • ACTUAL VALUE PRIOR TO ACTUAL.1fAILo$AFTER REVIEW• 'RIE1Al . . PERSONAL PROPERTY 83,477 83,477 • • • TOTAL $83,477 $83,477 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: PP01 - Your persona!property has been valued in accordance with Colorado law. Other personal • • • property, similar in nature, has been consistently valued using the same statutory methods. • If you disagree with the Assessor's decision, you have the right to appeal to the County Board of Equalization for further consideration, § 39-8-1O6(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. CL: ) RECEIVED -7- Zz JUL 222014 WELD COUNTY 15-DPT-AR PR 207-08/13 COMMISSIONERS P2027302 21573 APPEAL PROCEDURES • County Board of Equalization Hearings will be held from July 1 through August 5 at 1400 N 17 AVE. •• 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 20 for personal 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 12, § 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.dole.colorado.00vfbaa 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, 2012? (Your opinion of value in terms of a • specific dollar amount is required for real property pursuant to § 39-8-106(1.5), C.R.S.) $ 22,326 What is the basis for your estimate of value or your reason for requesting a review? (Please attach additional sheets as necessary and any supporting documentation, i.e., comparable sales, rent roll, original installed cost, appraisal, etc.) Property not assessed at fair market value- including adjustments for obsolescence ATTESTATION j I, the undersigned owner or agent"of the property identified above, affirm that the statements contained herein rid on any a tachments hereto are true and complete. -t(L(Jt.i1�11 tt-` 210-222-1221 7/16/2014 12:00:0( i ature I Telephone Number Date Email Address jhausman@atechltd.com P2027302 4212 ' Attach letter of authorization signed by property owner. 15-OPT-AR PR 207-08/13 P0004635 21603 . • i lZ SAFEWAYIHc. `� 5915 STONERIOGE MALL ROAD • PLFASANTON,CA SAMS229 January 24,2014 RECEIVED RE: Appointment of Agent JUL 2 2 2014 Safeway, Inc. WELD COUNTY COMMISSIONERS To Whom It May Concern: Please be advised that the firm of Assessment Technologies, Ltd., ("ATLTD") has been retained and granted power of attorney to represent the interests of the entity Safeway, Inc.with respect to all property tax issues and all matters with your office. Communications related to the appeal process should be mailed to: Assessment Technologies, Ltd. 121 Interpark, Suite J08 San Antonio, TX 78216 Attn:Safeway, Inc. Account Manager Thank you for your assistance in this matter. If you should have any questions or concerns please contact Heather Chambless, Account Manager at (210) 222-1221 or by email at hchambless@atechltd.com• Sincerely. (----Q....,, a bnnn Matsu2aki ,\sst.Tax Manager S i(ew,Iy, Inc. CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California RECEIVED • County of Contra Costa JUL 2 2 2014 . WELD COUNTY On pots. II 0%;4 before me, "3rooK., h Stan COMMI� ZS` (Here insert name and title of the officer) • personally appearedn Mai i Su'A L�.► , who proved to me on the basis of satisfactory evidence to be the person whose name sore subscribed to • the within instrument and acknowledged to me tha tr he/they executed the same i herhheir authorized capacity(r),.and that brp.theritheir signature(f on the instrument the person(a7,or the entity upon behalf of - which the personsd)acted,executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct • BROOK THURSTON S my hand and official seat - Commission 9 2037638 {� -• 1• Notary Pub$e-California '.C'i f Contra Costa County e Comm. Ines 18 2017 Si rotary } 04 ADDITIONAL OPTIONAL INFORMATION • INSTRUCTIONS FOR.COMPLETING THIS FORM DESCRIPTION OF THE ATTACHED DOCUMENT Any �r the completed an a sepa ia mat contain perm emery as appears nary radon or a separate t Thi ter'&ac form mat a properly completed and attached 10 that document 71te.only caption Is ✓a Anon%r inttth Y1+ documentdnaon is to be monied amide of fansda 6 such int� any y alternative 11_fir.(fide or description of ) es acknowledgment raker as nay be pined an such a document ro long as the F verbiage do not therequireto noisydo something that te Illegal fir a notary In • Californd(ti craning dm atabaa£•sd capacity of the signer).Please cheek the. p (Title or description of attached document continued) documenttwydlyfarprtperralorla/aordtngandatmcA this fine((required Numbs of Pager 2. Document Date ( a� I • State mod County bdtrmetioa must be the Stets end Gamey were the demeans Cr1C.ludt signets)personally'peeved before the notary*Be for aelmow4edgment Mgt •i$t S pate) • Date of notation must be the date that the neap)pastern appeared which 0 mutt also be the same dab the acluawledgmant is completed. (Additional Information) • The notary publics maser print Ns or her nuns as it appears within his or hat commission followed by s taosms and the your tide(notary public). • Print the naae(s)of document styles(')who personally appear at the time of notes CAPACITY C.AIIv1ID BY THE SIGNER • Indicate the correct'instals or plural fame by crossing off Incorrect force(ic. Individual(7) horn haor•Is/an)or circling the comet dims.Failure to correctly indicant this ❑ Corporate Officer Information may lead to rejection of document recording, • T4e notary seal i mpadm must be cleer and photognphially reproducible Impression mutt not earn tssa or Zinn.If seal Impassion smudge;re-seal if a (rue) sufficing arm pamita,otherwise complete a ditlbtem acknowledgment fan ❑ Partner(s) • Signature of the'army public mint match the slgnanae on file with the office of the county clerk. ❑ Attorney-in-Fact .7 Additional intimation is not required but could help to ensue this ❑ Trustee(s) acknowledgment is not misused or attached toe different document. ❑ Other Indicate tide or type of attached document•number of pages and date. -} Indicate the capacity claimed by the signer,If the claimed capacity is a I '„ corporate officer,Indicate the tide(it.co,CFO,Secretary). i • Securely attach this dominant to the signed document 20O8 Version CAPAvl7.10.07100.173-9163 wwwNoteryClessacom rr 0:J CD RECEIVED JUL 222014 WELD COUNTY COMMISSIONERS wa — oa ,w. Ar ow Lia e w= Is a I Yz ^N M t ✓iw C 00 _ o d 7 = p.1 4 U z a - 0 O 0 O T E O _- t O . N a = 3m .- a C7 4 3 u `° N > 00 Ti l- ; cr k Y O C i e O N G 00 G N O N M (n 4 NOTICE OF DETERMINATION Christopher M. Woodruff Date of Notice: 7/10/2014 Weld County Assessor Telephone: (970) 353-3845 1400 N 17th Ave Fax: (970) 304-6433 Greeley, CO 80631 Office Hours: 8:00 AM - 5:00 PM www.weldgov.com ACCOUNT NO. TAX YEAR.... TAX AREA '; LEGAL DESCRIPTION/PHYSICAL LOCATION P2027402 2014 2084 FIR FS L5 FIRESTONE SAFEWAY 8134 13 CR FIRESTONE,CO i SAFEWAY INC CIO CPTS NO. 1045 1371 OAKLAND BLVD STE 200 WALNUT CREEK,CA 94598-8408 3 ..• ., ASSE8$OR'S VALUATION . , .• j PROPERTY C.L ►SSIFICATION ACTUAL VALUE PRIOR TO ACTUAL VALUE<AFTER REVIEW REVIEW' PERSONAL PRCPERTY 714,255 714,255 TOTAL $714,255 $714,255 L 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: PP01 - Your personal property has been valued in accordance with Colorado law. Other personal property, similar in nature, has been consistently valued using the same statutory methods. 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 protected 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. Cc; CA) RECEIVED .7-ZZ 15-DPT-AR JUL 2 2 2S-:'= PR 207-08/13 P2027402 21574 WELD COUNTY COMMISSIONERS • APPEAL PROCEDURES County Board of Equalization Hearings will be held from July 1 through August 5 at 1400 N 17 AVE. 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 20 for personal 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 ail 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 12, § 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 131 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 Arbi ration For a list oo 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, 2012? (Your opinion of value in tears of a specific dollar amount is required for real property pursuant to § 39-8-106(1.5), C.R.S.) $ 198,130 What is the basis for your estimate of value or your reason for requesting a review? (Please attach aaditional sheets as necessary and any supporting documentation, i.e., comparable sales, rent roll, original installed cost. appraisal, etc) Property not assessed at fair market value-including adjustments for obsolescence 1 ATTESTATION P. the undersigned cwner or agent' of the property identified above, affirm that the statements conta ned herein e on any attachments hereto are true and complete. I.( ' 210-222-1221 7/16/2014 12:00:0( 49 nature Telephone Number Date Email Address jhausman©atechltd.com P2027402 4208 ' Attach letter of authorization signed by property owner. 15-DPT-AR PR 207.08/13 P0004535 21603 i SAFEWAY • . SNC. 5916 STONEPIOGE MALL ROAD • PLEASANTON. CA 946R-32n I January 24, 2014 RECCI V ff0 egg 20 RE: Appointment of Agent r047. � Safeway, Inc. too i i- To Whom It May Concern: Please be advised that the firm of Assessment Technologies, Ltd., ("ATLTD") has been retained and granted power of attorney to represent the interests of the entity Safeway, Inc.with respect to all property tax issues and all matters with your office. Communications related to the appeal process should be mailed to: Assessment Technologies, Ltd. 121 Interpark,Suite.108 San Antonio, TX 78216 Attn:Safeway, Inc. Account Manager Thank you for your assistance in this matter. If you should have any questions or concerns please contact Heather Chambless,Account Manager at (210) 222-1221 or by email at hchambless@atechltd.com. Sincerely, )Tnnn Matsuzaki Asst.Tax Manager Safeway, Inc. ' p CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California RECEIVED • County of Contra Costa JUL 2 2 2014 WELD COUNTY On &h. II • ea bl4 before me, ea On l h a r 5ran COMMISSU &F IIc (Hare insert owe and title of the officer)• —NOpersonally appeared VI alai 1ai gu.0.k .t , t who proved to me on the.basis of satisfactory evidence to be the person whose name sue subscribed to • the within instrument and acknowledged to me that�iy(shehhey executed the same i 'herhheir authorized capacityc,.and that b 'herkheir signahue()gron the instrument the personf dal,or the entity upon behalf of • which the person i)acted,executed the instrument • I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct BROOK THURSTON I # .,, Commission a 2037638 WITNESS my hand and official seal. + Notary PuaNe•California { �e' Ti1 Cornea Costs Canty Comm. Inn 18 2017 Si Notary ti (H v ADDITIONAL OPTIONAL INFORMATION • INSTRUCTIONS FOR COMPLETING THIS FORM Any acbrwledg.eu completed In Calybnde mot contain verbiage exactly as DESCRIPTION OF TAE ATTACHED DOCUMENT appears above in the notary ration or a man=acknowledgment form mile be t� '��" ,,�y ,A i properly completed and attached to that document The.only caption is (r a Lpm1►l lrrt.Cl r i I`}C�(Y1 1 dacomw le to be recorded outside ofCaf(fomia.fa nth instances,any alternative ll (71t1e or description of etme doeue,eVit) aeb,nrledgnuua verbiage as nay be printed on such a doeament so long as the t verbiage does not requ/n the notary to do something that p Illegal for a notary in Califonda(re,c.rafying the authorized rapacity of the signer).Please cheek the (Tide or description ofetlached document continued) document raryidlyfwpopsiomfa)eardttrgandortxh MO",(required Number of Pages Z Document Date I I.V4 1 I Li • state ad County information muse be the State end Cony when the dilemma sitnm(a)personally appeared before the notary public foe•elaavddgment CIf1C,turJlrTA 'Hits • Date of notarization most beer date then the signer(e)personally appeared which U oust also be the UM data the aoknowldgwnt is completed. (Additional information) • The rotary public. must prim his at her norm as it appears within his or her • eommiake followed(rye comma and than yaw tide(notary public). • Pry the name(*)of datum*tigaer(s)who personallyaweat the time of notabation CAPACTIY CLAIMED BY TAE SIGNER • indicate the correct sirloin or plural forma by crossing off incorrect forma(ill )Cltntividuai(s) hahnelb yr Is/an)or circling to correct forma Failure to correctly indicate this Information may lead m raja-dm of document rmeading. ❑ Corporate Officer • The notary seal impression most be clew and photographically smudges, reproducible. Imprealen anus not outer teat or line Heel impression smudge;re-seal if a (Title) 'official ace permits,othawbe complete•different almoMdgment forts_ ❑ Partner(S) • Signature of the notary public must match the signature on file with the office of ❑ AttOmey-io•Feet the county clerk. Additional information is not required but could help to ensure this ❑ Trustee(!) acknowledgment Ls not misused or attached toe different document ❑ Other Indicate title or type of attached document,number of pages and dale. ' Indicate the capacity claimed by the signer.[(N•claimed capacity is a corporate officer,indicate the tide(la CFO,CFO,Secretary). I • Securely attach this document to the signed document 2008 Venice CAPA y12.10.07 100.173-9865 wwwNotaryCles,ncom • RECEIVED �,� JUL 2 2 2C:) WELD COUNTY COMMISSIONERS ww J _ = ...1 w • z ens U CC ^��CT = SWIM=w° Q mono. '1 — ov W Qo — �a r o s 'w z 000tttK _ — c chi j W —• tE M L sw 'N1/40 g O a <o = Q' v vii Q a 'D 'O o 1l N `a 3 CO° = a o a A o N J CD 9 r > X + cn H ' x d ! E- o Q Co C N O N rn Vi NOTICE OF DETERMINATION Christopher M. Woodruff Date of Notice: 7/10/2014 Weld County Assessor Telephone: (970) 353-3845 1400 N 17th Ave Fax: (970) 304-6433 Greeley, CO 80631 Office Hours: 8:00 AM - 5:00 PM www.weldgov.com I `: 1;EGAL.pESCRIPTIONI PHYS CM_L0CATI0N J.ACCOUNT NO. s. TAX YEAR TAX AREA-,J ••. P2408703 2014 0882 FTL 2FLCC L0T1 BLK1 FORT LUPTON COMMUNITY CENTER FG #2 1300 DEXTER ST SAFEWAY INC FORT LUPTON, CO C/0 CPTS NO. 1045 1371 OAKLAND BLVD STE 200 i WALNUT CREEK,CA 94596.8408 • • • . . E$80R's;VAl.LIATI0N y, rt. PROPERTY.CLASSIFICATION ,. ' ACTUAL VALUE dR10PIT0 ACTUAL itat*APTER IiEV11A1, • • ,'i REVS BVV i:, PERSONAL PROPERTY 766,041 766,041 TOTAL $768,041 $768,041 ! 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: PP0I - Your personal property has been valued in accordance with Colorado law. Other personal property, similar in nature, has been consistently valued using the same statutory methods. 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. Cc. ) RECEIVED 7`ZL JUL 2C14 15-OPT-AR WELD COUNTY PR 207.08/13 P2403703 21455 COMMISSIONERS APPEAL PROCEDURES County Board of Equalization Hearings will be held from July 1 through August 5 at 1400 N 17 AVE. 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 20 for personal 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 12, § 39-2-125(1)(e), G.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.dole.colorado.nov/baa telephone number. BindtnA 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. C PETITION TO COUNTY BOARD OF EQUALIZATION What is your estimate of the property's value as of June 30, 2012? (Your opinion of value in terms of a specific dollar amount is required for real property pursuant to § 39-8-106(1.5), C.R.S.) $ 225,888 What is the basis for your estimate of value or your reason for requesting a review? (Please attach additional sheets as necessary and any supporting documentation, i.e , comparable sales, rent roil, original installed cast, appraisal. etc.) Property not assessed at fair market value-including adjustments for obsolescence ATTESTATION I. the undersigned owner or agent' of the property identified above, affirm that the statements contained herein and on any att chments hereto are true and complete. , f j - ' t'LL\ 210-222-1221 7/16/2014 12:00:0( Vill\t) ature Telephone Number Date Email Address jhausman@atechltd.com P2408703 4205 ' Attach letter of authorization signed by property owner. 15-DPT-AR PR 207-08/13 P0004635 21603 i SAFEWAYINC. 591E STONERIOGE MALI MAO (8) • PLEASANTON,CA 9/681-31YY I January 24, 2014 RECEIVED RE: Appointment of Agent Safeway, Inc. JUL 2 2 2014 WELD COUNTY COMMISSIONERS To Whom It May Concern: Please be advised that the firm of Assessment Technologies, Ltd., ("ATLTD") has been retained and granted power of attorney to represent the interests of the entity Safeway, Inc. with respect to all property tax issues and all matters with your office. Communications related to the appeal process should be mailed to: Assessment Technologies, Ltd. 121 Interpark,Suite 308 San Antonio, TX 78216 Attn:Safeway, Inc. Account Manager Thank you for your assistance in this matter. If you should have any questions or concerns please contact Heather Chambless,Account Manager at (210) 222-1221 or by email at hchambless@atechltd.com. Sincerely, Lb_ _• Ihmn Matsuzaki Asst.'fax Manager S.lteway, Inc. CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGWgaiTIVED State of California JUL 2 2 2014 • County of contra Costa WELD COUNTY • COMMISSIONERS r- On tab, Ill n7blet before me, reSY00IL IhurMin Notary Public (Here insert name and title of the officer) • personally appeared twin Midas to.t , who proved to me on the,basis of satisfactory evidence to be the person s�si whose name re subscribed to • the within instrument and aclmowledged to me thaiCse hehhey executed the same i> herhheir authorized capacity(jn!),,and that b f herkheir signature(f on the instrument the person$4,or the entity upon behalf of • which the person acted,executed the instrument • I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct rEIROOKVal SS my hand and official seal 38rnlaNe '!+. Contra Costa County II Comm.Extra 18 2017 Si only "� run miry ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM DESCRIPTION OF THE ATTACHED DOCUMENT appears acknowledgment completed b Caafbntla run confab verbiage racily as appears above in the notary.radon or a separate acknowledgment form meat be properly completed and aeaehed to that docuesne The.any iv a A jph1�yyet 1�..,„••�• document le to be recorded outside ofcalromlet.be such butane:: alternately {{�1��-(r(Ns or description of sera loaeuatcar`y`) acbwwledpmenf verb/age as any be printed on such a document so long as the V verbiage don not require the notary to do something that Is Illegal for a notary in Califonda file. certlfying the au hoeted capacity of the signer).Phase cheek the (Title ordescripdon of attached document continued) darnnmtc oryldyfarp open notarial xardtt�and attach this fins(f required . Number of Pages 2. Document Date I Jaq jig • State ant cowry information must be the Shia and County vdsre me dcoument (IAUtadl sigca(a)lwtonal y appeared baron the notary pubis for acknowledgment. 'Ill(S page, • Date of notarization must be the date that the signer(a)pasomlly appeared which ' CaI_ must also be the a data the mlmmvledgment is completed. (Additional information) • the Wary publics must print his or her name a it appeere within his or her • cammistim followed by a comma and then your title(notary public). • Print the names)of document signers)who Penally appearr at the time of notarization CAPACITY CLAMED BY TEE SIGNER • Indicate the correct single or plural forms by crossing off incorrect forma(i.e. XC Individual(a) hWsbeftbeYr is fate ned)or circling the co tyros Failure te=reedy indicate this Infmmation may lead to rejection of document recording The notary seal inrytm gl int utt be clan and phonographically ❑ Corporate reproducible.� Officer Impression must not corer text or line If seal Impression smudges,re-seal if a (Title) sufficed ena pint•otherwise complete a different acknowledgment farm. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk. Cl Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document ❑ Other Indicate title or type of attached document,number of pages and data -S Indicate the capacity claimed by the signer,If the claimed capacity is a corporate officer,indicate the title(le.CEO,CFO,Secretary). I • Securely attach this document to the signed document 2001 Venion CAPAv 1210.01 300.173.9863 www.NotaryClanescom A o4. f s �` RECEIVED n. _ JUL 222014 WELD COUNTY COMMISSIONERS _"J „q - - Fw — °5 �n. _ WO wo0 iMIPISIIIIISIONIIIIII. r _ ao 144 °¢ LL SimmiiIIMIEMB = a o �[�/] _ as'Th O' C ',Cr __ -2 ur W N m S wW V O oo a a,,_ . _ mo o• d 00 F ° ❑ W r O t _ a d o `n o >; E - 9- .OO � v a _ m O '. p L . 3 W — iC7 a A m J ry ti W F . ro ✓ a • Q 0o C N O N n NOTICE OF DETERMINATION Christopher M. Woodruff Date of Notice: 7/10/2014 Weld County Assessor Telephone: (970) 353-3845 1400 N 17th Ave Fax: (970) 304-6433 Greeley, CO 80631 Office Hours: 8:00 AM - 5:00 PM www.weldqov.com •ACCOUNT NO. TAX YEAR TAX AREA LEGAL DESCRIPTIONI.PHYSICAL LOCATION ,, P2722504 2014 0600 GR CP L8 CENTERPLACE 4548 CENTERPLACE DR GREELEY,CO 4SAFEWAYINC CiO CPTS NO. 1045 1371 OAKLAND BLVD STE 200 WALNUT CREEK,CA 94596-5408 a AL UATI0N PROPERTY CLASSIFICATION i . ACTUAL VALUE PRIOR'TO.. ACTUAL V Mi 0-AFTER REVIEW REVIEW- PERSONAL PROPERTY 993,214 993,214 i ,I TOTAL $993,214 $993,214 I 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: PP01 - Your personal property has been valued in accordance with Colorado law. Other personal property, similar in nature, has been consistently valued using the same statutory methods. 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. CC..fksJ ) RECEIVED 7-2Z. JUL 2 2 201 15-OPT-AR PR 207-08113 COMMISSOIONERS P2722504 21268 APPEAL PROCEDURES County Board of Equalization Hearings will be held from July 1 through August 5 at 1400 N 17 AVE. 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 20 for personal 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 ail 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 12, § 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.00v/baa telephone number. Binding Arbil ation ror 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 I What is your estimate of the property's value as of June 30, 2012? (Your opinion of value in terms of a specific dollar amount is required for real property pursuant to § 39-8-106(1.5), C.R.S.) $ 187,795 What is the basis for your estimate of value or your reason for requesting a review? (Please attach additional sheets as necessary and any supporting documentation, i.e., comparable sales, rent roll, original installed cost, appraisal, etc.) Property not assessed at fair market value-including adjustments for obsolescence I ATTESTATION I. the undersigned owner or agent' of the property identified above, affirm that the statements contained herein on any nd complete. �a%.,' a ac(��time 1 1he 111 true a 210-222-1221 7/16/2O14 12:OO:O( *itItiri ature �J Telephone Number Date Email Address jhausman@atechltd.com P2722504 4209 ' Attach letter of authorization signed by property owner. 15-OPT-AR PR 207-08/13 P0004635 21603 i • l� SAFEWAYINC. `� 5916 STONERIOGE MALL ROAD • PLEASANTON,CA 9468!•7222 January 24, 2014 RECEIVED RE: Appointment of Agent JUL 2 2 2014 Safeway, Inc. WELD COUNTY COMMISSIONERS To Whom It May Concern: Please be advised that the firm of Assessment Technologies, Ltd., ("ATLTD") has been retained and granted power of attorney to represent the interests of the entity Safeway, Inc.with respect to all property tax issues and all matters with your office. Communications related to the appeal process should be mailed to: Assessment Technologies, Ltd. 121 Interpark,Suite JIM San Antonio, TX 78216 Attn:Safeway, Inc.Account Manager Thank you for your assistance in this matter. If you should have any questions or concerns please contact Heather Chambless, Account Manager at (210) 222-1221 or by email at hchambless@atechltd.com. Sincerely, ,--L--)., L__5 bnnn Matsu2aki Asst.Tax Manager S.ilew.W, Inc. CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California RECEIVED • County of Contra Costa JUL 2 2 2014 • / WELD On fib, 111 Obit./ before me, eaYDoL h 5 OMMISSioNEparyPublic -� (Hem insert name and title of the officer) • personally appeared than r 44 Sat&E..t , who proved to me on the.basis of satisfactory evidence to be the person whose name .re subscribed to • the within instrument and acknowledged to me thatee thehhey executed the same i herhheir authorized capacityciti),.and that byatheritheir signature(%on the instrument the person,(4,or the entity upon behalf of • which the person acted,executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct • BH00KTHURSTON - 3 my hand and official seal 41Irte Commission ra 2037638 P ''•- • Notary Publiccoc•s County • ��-w% Cams Costa County ' 1 Comm E km Ai 18 20171 Si miry (Nota5euT _ _ _ __ _ _�_� ADDITIONAL OPTIONAL INFORMATION • INSTRUCTIONS FOR COMPLETING THIS FORM Any aebwwkdgment eomplyd In Cah)brnla mart coma verbiage exactly as DESCRIPTION OF THIS ATTACHED DOCUMENT appears above In the noisy.section or a separate aebwwledgmw form mutt be - ��1�� l properly completed and attached m that doamvnt me only emspdq,r (f a 1;4---pa't►t rr[1 �+ daewnw 4 top!: boa neorded outside gfGlybrNa G such 6snmruz any eJternaflre (rills or description of aloe ) acbtowledgment verbiage as any be pinta an such a document so long as the i verbiage does not require the notary to do something that it illegal fir a notary in California(G. certifying the s sa s N ted capacity oldie riper).Please the r (Title or description of attached dammed continued) document rmgtdlyfor proper notarial nardbrgandat attach this form(fnqubed Ntanbte of Pages 2. Document Date (/� 1 • S• Stabs ant Co'�'information mum be the Seta and County when the deci merd 'irons)penny appeared Wonthe notary public for acknoodedgmennt i/1C.Itldt '1'111 S pis) • Data of notarisation must ba the date that the sign)pmenally appeared which must also be the same data the eeltmwledgmeot i1 completed. (Additional information) • The notery public must print his or her name as it appears within his or het • comniselm followed bynames comes and then your title(notary public). • Print the names)of document shiner(s)who personally appear at the time of note;=sttau CAPACITY CLAIMED BY THE SIGNER • Indicate the correct sinmdr or plural forma by craving off Incorrect fors(i.a r ;C:Clndiridual(s) Wale/their is Ian)or cirelbm the caret arms.Failure to correctly indicate this i information may lead to rejec€at of doetnneat ncerding. ❑ Corporate Officer • The sorry seal impreaiao must be deerand photopsphially reproducible. Impreo)on must not Darr tat or line.If seal Impression smudges,re-seal if■ (Tide) Junkedmapemib,otherwlm complete■different aaltrwwdedaesnt fans O Psrtnr(s) • Sigmhue of the notary public must match the signature on file with the office of ❑ Attorney-In-Feet the county`left`• Additional intimation is not required but could help to ensue this i ❑ Trustee(s) acknowledgment Is not misused or attached toe different document ❑ Other Indicate tide or type of melted document,number of pages and date. Indicate the capacity claimed by the signer.If the claimed capacity is a 'i corporate officer,indicate the title(It CE0,CFO,Secretary). • • Securely attach this document to the signed document l 2008 Version CAPA v 1210.07*00.173-9863 www.NoteryClesescom ..w RECEIVED e _: .` e.: • JUL 2 2 2014 WELD COUNTY COMMISSIONERS _w „o - o_ 1 - : .. - 41w J °o ok ¢ "��' _ Z i0 G Ca �o wLL W _ ov _ = a cc aI. �� _ O C y — r Uj WIMISIIIMIIIIIIM M • N ep 1 p co d� C W t r U c 0 4... 0 o 6 E _ O o m N T ` -O . _ v o '^ O _ m — a6 Q N `t:-.° + al F ' x o e o : v c a - cc c cc o N M cn LY CLERK TO THE BOARD `"� 1861 ry PHONE (970) 336-7215, EXT 4226 FAX (970) 352-0242 WEBSITE: www.co.weld.co.us 1150 O STREET P.O. BOX 758 COUNTY GREELEY CO 80632 FThJuly 23, 2014 SAFEWAY INC C/O CPTS NO. 1045 1371 OAKLAND BLVD STE 200 WALNUT CREEK, CA 94596-8408 Account No.: See Attached Dear Petitioner(s): The Weld County Board of Equalization has set a date of July 29, 2014, at or about the hour of 4:30 PM, to hold a hearing on your valuation for assessment. This hearing will be held at the Weld County Administration Building, Assembly Room, 1150 O Street, Greeley, Colorado. You have a right to attend this hearing and present evidence in support of your petition. The Weld County Assessor or his designee will be present. The Board will make its decision on the basis of the record made at the aforementioned hearing, as well as your petition, so it would be in your interest to have a representative present. If you plan to be represented by an agent or an attorney at your hearing, prior to the hearing you shall provide, in writing to the Clerk to the Board's Office, an authorization for the agent or attorney to represent you. If you do not choose to attend this hearing, a decision will still be made by the Board by the close of business on August 5, 2014, and mailed to you on or before August 12, 2014. Because of the volume of cases before the Board of Equalization, most cases shall be limited to 10 minutes. Also due to volume, cases cannot be rescheduled. It is imperative that you provide evidence to support your position. This may include evidence that similar homes in your area are valued less than yours or you are being assessed on improvements you do not have. Please note: The fact that your valuation has increased cannot be your sole basis of appeal. Without documented evidence as indicated above, the Board will have no choice but to deny your appeal. If you wish to obtain the data supporting the Assessor's valuation of your property, please submit a written request directly to the Assessor's Office by fax (970) 304-6433, or if you have questions, call (970) 353-3845. Upon receipt of your written request, the Assessor will notify you of the estimated cost of providing such information. Payment must be made prior to the Assessor providing such information, at which time the Assessor will make the data available within three (3) working days, subject to any confidentiality requirements. AS0088 SAFEWAY INC - Multiple Accounts Page 2 Please advise me if you decide not to keep your appointment as scheduled. If you need any additional information, please call me at your convenience. Very truly yours, BOARD OF EQUALIZATION Esther E. Gesick Clerk to the Board Weld County Board of County Commissioners cc: Christopher Woodruff, Assessor ATTN: SAFEWAY INC ACCOUNT MANAGER ASSESSMENT TECHNOLOGIES LTD 121 INTERPARK STE 308 SAN ANTONIO, TX 78216 AS0088 SAFEWAY INC - Multiple Accounts Page 3 Accounts scheduled for this hearing: POOO4634 POOO4635 P18O93O1 P2O273O2 P2O274O2 P24O87O3 P27225O4 AS0088 BOE SUMMARY SHEET Account Number P0004634, P0004635, P1809301, P2027302, P2027402, P2408703, P2722504 SAFEWAY INC C/O CPTS NO. 1045 1371 OAKLAND BLVD STE 200 WALNUT CREEK, CA 94596-8408 HEARING DATE: July 29, 2014, AT 4:30 PM HEARING ATTENDED? (Ye NAME: AGENT NAME: ATTN: SAFEWAY INC ACCOUNT MANAGER ASSESSMENT TECHNOLOGIES LTD 121 INTERPARK STE 308 SAN ANTONIO, TX 78216 -5-ea rl Y`C g/rocj APPRAISER NAME: LAM DECISION ACTUAL VALUATION APPROVE BY SET BY ASSESSOR BOARD TOTAL ACTUAL VALUE $4,759,122.00 COMMENTS:MOTION BY /"`,A P TO SECONDED BY it)& Conway -- 'YE) Freeman --O/N� Failed to prove appropriate value Kirkmeyer-- (x/N' No comparables given Rademacher-- N) —Assessor's value upheld Garcia --eYN) Other: RESOLUTION NO. 2014-2346 M:\OBOE\Letter Templates\Summary Sheet.docx Hello