Appeal Form - Adams County, Pennsylvania printable pdf download

DEPARTMENTAL USE

Interim/Annual:

Eff. Date C/M:

Eff. Date SCH:

APPEAL FORM

BOARD OF ASSESSMENT APPEALS

ADAMS COUNTY, PENNSYLVANIA

REVISED 9/3/2014

INSTRUCTIONS:

Every question must be answered. If the question does not apply to your appeal, answer "N/A" (not applicable). Incomplete

or illegible applications will be returned. A separate appeal form MUST be filed for EACH parcel involved in the appeal. Your

appeal must be received by the Board of Assessment Appeals by AUGUST 1st, or within forty (40) days from the mailing date

of your Change of Assessment Notice. You must state on the appeal if your Fair Market Value opinion is a current or base year

value. Any evidence provided by you should support the fair market value for the year you have stated. You shall forward any

appraisals or other forms of evidence at least 10 days prior to your scheduled appeal hearing. After the board receives your

appeal form, you will be notified of the date, time and place of your appeal hearing at least twenty (20) days in advance.

NOTE: By appealing, you open your property to the revaluation process, in which your property's assessment may be lowered,

raised or remain the same. RETURN to: Board of Assessment Appeals, c/o Adams County Tax Services, 117 Baltimore Street,

Room 202, Gettysburg, PA 17325; Fax to (717) 334-2091; or email to taxoffice@adamscounty.us.

A complete list of appeal rules can be found at

Parcel Identification:

Municipality:

Appealed Assessed Valuation:

Appealed Market Value:

Owner's(s') Name(s):

Owner's(s') Mailing Address:

Property Address:

Size of Lot:

Acres

Square Feet

Property Type: Check and Complete Proper Classification:

Residential: Year(s) Built _______ Total Rooms _______ Bedrooms ______ Baths ______

Fireplaces ______

Central Air ______ No. of Stories ______ Total Square Feet ______ Outbuildings/Other __________________

Vacant Land: Well or Public Water _______________ Septic/Sewer Type __________________

Commercial: Use ______________________ Year(s) Built ______ Gross SqFt________ Leased SqFt _______

Owner Occupied SqFt _______ Annual Gross Rent _______ Other Income/Expense Info. ________________

*Attach Last Three (3) Years' Income & Expense Statements from Federal Income Tax Return

Apartments: Year(s) Built ______ No. of Units ____ Rent/Unit ______ Avg Vacancy ______ Gross Rent ________

*Attach Last Three (3) Years' Income & Expense Statements from Federal Income Tax Return

Agricultural: (10 or more acres) Are you appealing Fair Market Value? ______

Are you appealing Clean and Green Value? _______

Are you appealing Clean and Green Status? _______

Continued on Reverse Side

Appeal Form - Adams County, Pennsylvania