Petition For Review Of Assessment By Local Assessing Official (Form 130) {21513}

PETITION FOR REVIEW OF ASSESSMENT BY LOCAL ASSESSING OFFICIAL - PROPERTY TAX ASSESSMENT BOARD OF APPEALS State Form 21513 (R13 / 6-16) Prescribed by the Department of Local Government Finance FORM 130 Assessment year under appeal JANUARY 1, 20____ GENERAL INSTRUCTIONS: 1. Please print or type. See page four for a chart illustrating the procedure for appeal of assessment. 2. The petitioner should complete Section I, Section II, and Section III of this form. 3. The petition must be signed by the petitioner or an authorized representative. A representative must attach a notarized power of attorney unless the representative is a duly authorized employee or corporate officer of the taxpayer. Is a power of attorney attached? Yes No 4. Certified tax representatives must attach a Tax Representative Disclosure statement. 50 IAC 15-5-5 NOTE: A holder of a tax sale certificate under IC 6-1.1-24 does not have an interest in tangible property for purposes of obtaining a review or bringing an appeal of an assessment of property under IC 6-1.1-15. As a result of filing this petition, the assessment may increase, may decrease, or may stay the same. Check type of property under appeal (check only one): Real Personal SECTION I: PROPERTY AND PETITIONER INFORMATION County Township Parcel or key number (for real property only) Address of property being appealed (number and street, city, state, and ZIP code) Legal description on Form 11 or property record card (for real property), or business name (for personal property) Name of property owner Telephone number of property owner ( Mailing address of property owner (number and street, city, state, and ZIP code) ) Name of authorized representative (if different from owner) Telephone number of authorized representative ( Mailing address of authorized representative (number and street, city, state, and ZIP code) ) SECTION II: REASON FOR APPEAL Land The property described in Section I is currently assessed at: The petitioner contends that the property should be assessed at: Present use for the property Improvements Personal Property Use for which property was designed Classification of property (commercial, residential, etc.) Was property sold in the last three years? If yes, date of sale (month, day, year) Sale price Yes No If the property was sold in the last three years, attach the purchase agreement, escrow statement, closing statement, or other evidence, if available. If buyer and seller were or are related, or had any common business interests, attach an explanation of the relationship. If the property was not sold but was listed for sale in the past three years, attach a copy of the listing agreement or other available evidence. Do you intend to present the testimony or report of a professional assessor / appraiser? Is the property valued higher than comparable properties? Yes No Yes No If yes, attach the owner's name and address of each comparable property and explain how the property is comparable to the property being appealed. The requested change in assessed value is justified for the following reasons: (Give specific reasons. Do not give conclusions such as the assessment is too high.) Page 1 of 4 American LegalNet, Inc. www.FormsWorkFlow.com SECTION III: SIGNATURES Petitioner, taxpayer, or duly authorized employee or corporate officer of the taxpayer I certify that my entries in Section I and Section II are accurate to the best of my knowledge and belief. I also understand that by appealing my assessment, my assessment may increase, may decrease, or may remain the same. Signature of petitioner, taxpayer, or duly authorized officer Date of signature (month, day, year) Printed or typed name of petitioner, taxpayer, or duly authorized officer Tax representative I certify that the entries in Section I and Section II are accurate to the best of my knowledge and belief. I certify that I have viewed this property, the property record card, and Form 11 or Form 113, and that I have the authority to file this appeal on behalf of the taxpayer. I certify that I have made all necessary disclosures to my client, pursuant to 50 IAC 15-5-5. Signature of tax representative Date of signature (month, day, year) Printed or typed name of tax representative Attorney representative I certify that my entries in Section I and Section II are accurate to the best of my knowledge and belief. Signature of attorney representative Date of signature (month, day, year) Printed or typed name of attorney representative CHECKLIST I have reviewed Form 11 or Form 113. I have reviewed the property record card. If I am appealing both real and personal property assessments, I have filed separate petitions for each property. I have checked the type of property under appeal (real or personal) at the top of page one. I have completed Section I, Section II, and Section III of this petition. I have given specific reasons for the requested change in value in Section II of this petition. If this petition is being filed by an authorized tax representative, a duly executed power of attorney and a Tax Representative Disclosure statement are attached. I have signed this petition. I understand that I must submit the original and one copy of this form to the assessing official. If there are other related parcels currently under appeal, a listing of these parcels is attached. Page 2 of 4 American LegalNet, Inc. www.FormsWorkFlow.com FOR ASSESSING OFFICIAL USE ONLY 1. Date notice was sent to taxpayer (month, day, year) 2. Date petition for review was filed by petitioner (month, day, year) 3. Petition for review timely filed? Yes Signature of assessor Date of signature (month, day, year) No If the answer to number 3 above is "No", the assessor shall notify the petitioner that the petition was not timely filed. THE FOLLOWING SECTION IS FOR THE ASSESSOR / PETITIONER CONFERENCE SECTION IV: RESULTS OF ASSESSOR / PETITIONER CONFERENCE Before the county board holds the hearing required under IC 6-1.1-15-1, the assessing official shall attempt to hold a preliminary informal meeting with the taxpayer to resolve as many issues as possible. Not later than ten (10) days after the meeting, the assessing official shall forward to the county auditor and county board the results of the meeting. Land The petitioner contends that the property should be assessed at: The assessing official contends that the property should be assessed at: If no agreement can be reached, explain the reasons for disagreement. If a c