Montour County Assessment Appeal Form

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MONTOUR COUNTY ASSESSMENT APPEAL FORM
RESIDENTIAL APPEALS - $25.00 / COMMERCIAL APPEALS - $50.00
Under the provisions of the law, any person aggrieved by any assessment and desiring to appeal, shall file a
statement in writing to the Board of Assessment Appeals. Such statement shall designate the assessment appeal
from and the address to which the Board shall mail notice of when and where to appear for a hearing. Failure to
appear at hearing is considered abandoned. NO APPEAL SHALL BE HEARD BY THE BOARD UNLESS THE
PROPERTY OWNER SHALL FIRST HAVE FILED THE APPEAL AND REQUIRED DOCUMENTS ON OR
BEFORE SEPTEMBER 1, AS SET BY LAW.
Return form to: MONTOUR COUNTY ASSESSMENT OFFICE, 29 MILL ST. ROOM 5, DANVILLE, PA 17821
RECORD OWNER(S) NAME________________________________________________
MAILING ADDRESS______________________________________________________
PROPERTY SUBJECT TO APPEAL__________________________________________
Number Street
City/Borough/Township
TAX MAP IDENTIFICATION NUMBER_____________________________________
Are you appealing Fair Market Value? ____Yes ____No Clean and Green Value ____Yes ____No Other_____
BUILDING AND/OR LAND USE_____________________________________________
DESCRIBE PROPERTY TYPE (CHECK ONE):
____Residential ____Agricultural ____Vacant Land
____Commercial ____Industrial ____Minerals
LOT SIZE/ACREAGE__________________
DATE PURCHASED_________________ PURCHASE PRICE_____________________
VALUE APPEALED_________________ OWNER’S OPINION OF VALUE__________
CERTIFIED APPRAISERS OPINION OF VALUE___________________
AMOUNT OF FIRE INSURANCE____________________
IF PROPERTY RENTED, STATE ANNUAL RENT________________
MOBILE HOME INFORMATION
YEAR_____ SIZE_______ MAKE________________ PURCHASE PRICE___________
BASIS FOR APPEAL
(State specific reasons and basis for appeal including all factors which you believe will
be helpful in determining true Fair Market Value.):
LIST RECENT COMPARABLE SALES
(Note: Please list only local comparable properties which have
been sold recently; comparisons to your neighbor’s property, for example, which have not changed ownership
recently, will not be considered.):
NOTE: YOU MAY ATTACH A LIST OF COMPARABLE PROPERTIES, WHICH
HAVE SOLD, RECENTLY IN SUPPORT OF YOUR APPEAL.
ALL NOTICES OF PROCEEDINGS WILL BE MAILED TO OWNER(S) OF RECORD
AND SUCH OTHER AS IDENTIFIED BELOW:
NAME_________________________________________________________________________
ADDRESS______________________________________________________________________
CERTIFICATE OF APPEAL
I/We hereby declare my/our intention to appeal from the assessed valuation of the property described above and do
hereby verify that the statements made in this appeal are true and correct. I understand that false statements herein
are made subject to the penalties of 18 Pennsylvania C.S. Section 4904, relating to falsification to authorities.
_____________________________
SIGNED__________________________________ DATE
______________________________________
TELEPHONE (HOME)__________________
__________________________________________ TELEPHONE (WORK)_________________
OWNER(S) OF RECORD

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