Page 3 of 3
Name of Taxpayer:
GEO Code:
THIS PORTION FOR COUNTY TAX APPEAL BOARD USE:
approved
disapproved
adjusted
The above application for reduction in appraised value is:
(circle one)
for the following reasons:
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
_____________________________________________________________________________________ Date:_________________
__________________________ County Tax Appeal Board _______________________________________________, Chairperson
IF YOU ARE DISSATIFIED WITH THE COUNTY BOARD DECISION, COMPLETE THIS PORTION FOR
APPEAL TO THE MONTANA STATE TAX APPEAL BOARD.
DOCKET NO.:
_______________
Section 15-2-301, MCA: "If the appearance provision of the 15-15-103 have been complied with, a person or the department on
behalf of the state or any municipal corporation aggrieved by action of the county tax appeal board may appeal to the state
board by filing with the Montana State Tax Appeal Board a notice of appeal within 30 calendar days after receipt of the decision of
the county board. The notice must specify the action complained of and the reasons assigned for the complaint."
I hereby appeal the action of the ______________________________ County Tax Appeal Board, received on ____________(date)
for the following reasons:
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
Signature: _________________________________________________________ Date:___________________________________
1209 8th Ave. - PO Box 200138 - Helena, MT 59620-0138
Telephone Number: (406) 444-2720 - FAX Number: (406) 444-3103 - Internet:
IF YOUR TAXES BECOME DUE BEFORE THIS APPEAL IS RESOLVED, THEY MUST BE PAID UNDER PROTEST, OR IT
MAY NOT BE POSSIBLE TO OBTAIN A REFUND, AS PROVIDED IN SECTION 15-2-306, MCA.