State Form 42936 - Petition To The Indiana Board Of Tax Review For Review Of Assessment

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FORM 131
PETITION TO THE INDIANA BOARD OF TAX
REVIEW FOR REVIEW OF ASSESSMENT
THIS PETITION MUST BE FILED WITH THE
INDIANA BOARD OF TAX REVIEW
State Form 42936 (R8 / 8-12) / IBTR Form 131
PETITION NUMBER
Prescribed by the Indiana Board of Tax Review
1
__ __ -- __ __ __ -- __ __ --
-- __ -- __ __ __ __ __
Co.
Dist.
Yr.
Prop.
Sequence
Class
READ IMPORTANT FILING INFORMATION BEFORE COMPLETING THIS FORM
FILING INFORMATION
This petition must be filed with the Indiana Board of Tax Review at its central office, 100 North Senate Avenue, Room N-1026, Indianapolis,
Indiana 46204. A copy of this petition must be served on the county assessor of the county where the property is located. If this petition is filed
by the county assessor, a copy must be served on the taxpayer. Ind. Code § 6-1.1-15-3(d).
WHO MAY FILE THIS FORM: This form may be used by taxpayers and by county assessors who dissent from the determination of the county property tax
assessment board of appeals to appeal assessments of real and personal property. Ind. Code § 6-1.1-15-3(a) and (c).
FILING DEADLINE: This petition must be filed not later than forty-five (45) days after the Notification of Final Assessment Determination is given to the taxpaye
Ind. Code § 6-1.1-15-3(d).
MULTIPLE YEARS, PARCELS, OR TYPES OF PROPERTY: Petitioners must file a separate petition for each appeal year. Petitioners must file a separate
petition for each parcel unless the Indiana Board of Tax Review gives permission otherwise. Petitioners wishing to appeal both personal and real property
assessments for the same parcel must complete a separate petition for each type of property. Please attach a list of related parcels currently under appeal.
ATTACHMENTS TO THIS PETITION: A copy of the written notice filed with the county or township assessor to initiate this appeal and a copy of the
Notification of Final Assessment Determination (State Form 20916 / Form 115) must be attached to this petition.
BURDEN: If the assessed value that is the subject of this appeal increased by more than 5% over the assessed value determined by the assessor (county
or township) for the immediately preceding assessment date for the same property, then the assessor has the burden of proving that the assessment is
correct in any appeal before the Indiana Board of Tax Review. See Ind. Code § 6-1.1-15-17.2. Do you believe the assessed value increased by more
Yes
No
than 5% over the assessed value determined by the assessor for the immediately preceding year?
List the assessed value as determined by the assessor for the preceding year _____________________
GENERAL INSTRUCTIONS
1 The Petitioner must complete Section I Section II Section III Section IV and Section V of this petition Please print or type
1. The Petitioner must complete Section I, Section II, Section III, Section IV, and Section V of this petition. Please print or type.
2. 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 an attorney licensed to practice law in Indiana, or a duly authorized employee or corporate officer of the taxpayer.
Yes
No
Is a power of attorney attached?
3. Certified Tax Representatives must attach a Tax Representative Disclosure Statement. 52 IAC 1-2-2.
4. Notify the Indiana Board of Tax Review and the county assessor of any change in your mailing address or telephone number subsequent to filing
this petition.
5. Additional information regarding appeal procedures and hearing practice is available on the IBTR website located at
FAILURE TO FOLLOW INSTRUCTIONS: If the Petitioner does not comply with the instructions for completing this petition, the Indiana Board of Tax
Review may return the form to the Petitioner with a description of the defect. The Petitioner will then have thirty (30) days from the date of notice of defect to
correctly complete the form and resubmit it to the Indiana Board of Tax Review. If the resubmitted form does not comply with the instructions for
completing the form, the Indiana Board of Tax Review may deny the petition. Please complete the checklist provided on page 3 before submitting this petition.
As a result of filing this petition, the assessment may increase, may decrease, or may remain the same.
Check the type of property under appeal (check only one):
Real
Personal
Is this property currently under appeal with the Indiana Board of Tax Review for another tax year?
Yes
No
If yes, indicate year(s) and type of appeal(s): __________________________________________________________________________________________
SECTION I: PROPERTY AND PETITIONER INFORMATION
Parcel or Key number (for real property)
County
Township
Address of property (number and street or rural route)
City
ZIP Code
Legal description provided on Form 11 or Property Record Card (for real property) , or business name (for personal property)
Assessment year under appeal
MARCH 1, ______________
Name of property owner
Telephone Number
E-mail Address
(
)
Address of property owner (number and street or rural route)
City
State
ZIP Code
Name of authorized representative (if different from taxpayer)
Telephone Number
E-mail Address
(
)
Address of authorized representative (number and street or rural route)
City
State
ZIP Code
Form 131, page 1

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