Response To Property Appraisal Form Page 2

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RESPONSE TO PROPERTY APPRAISAL FORM
Rule 12 DR FORM 104
Revised 02/04
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Other
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THIS FORM MAY BE EXTENDED BY USING ADDITIONAL PAGES FOR ADDITIONAL ITEMS UNDER THESE CATEGORIES, OR FOR
ADDITIOAL CATEGORIES.
Under oath I declare these property evaluations to be true and accurate to the best of my knowledge.
_________________________________
Plaintiff
Sworn to before me and subscribed in my presence this _____ day of ____________________, 20 ____.
_________________________________
Notary Public
Under oath I declare these property evaluations to be true and accurate to the best of my knowledge.
_________________________________
Defendant
Sworn to before me and subscribed in my presence this _____ day of ____________________, 20 ____.
_________________________________
Notary Public
Proof of Service
A copy of the foregoing Property Appraisal Form has been served on the other party (choose one of the
following methods) ____________________________________________________________________ this ____
(with the Summons), (with the Complaint), (with the Answer), or (other (describe))
day of _______________, 20 ____.
______________________________________________
Attorney for Plaintiff / Defendant
APPENDIX “B” TO LOCAL RULE 12

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