Application For Equalization Of Real Property Assessment - Fairfax County Board Of Equalization - 2006 Page 2

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FOR BOE USE ONLY
IMPORTANT: READ INSTRUCTIONS BEFORE COMPLETING THIS FORM
APPLICATION NUMBER
Application for Equalization of Real Property Assessment
Fairfax County Board of Equalization
MAP REFERENCE NUMBER
of Real Estate Assessments
PLAT
BLK OR
SUBDIV
PARCEL OR LOT
12000 Government Center Parkway, Suite 331
NUMBER
SEC
Fairfax, Virginia 22035-0033
Phone: 703-324-4891 Fax: 703-449-1888
TYPE OR PRINT INFORMATION CLEARLY AND SUBMIT IN DUPLICATE TO BOE OFFICE BY JUNE 1, 2006
Property Street Address:
Property Location (City):
Property Zip Code:
Building Name (if any):
Name of owner (s) on January 1, 2006:
Assessment: Land:
Improvement:
Total:
B
(
):
ASIS FOR APPEAL
YOU MUST SELECT AT LEAST ONE
□ FAIR MARKET VALUE: This property is assessed greater or lesser than its Fair Market Value.
□ LACK OF UNIFORMITY: This property assessment is out of line generally with similar properties.
□ ERRORS IN PROPERTY DESCRIPTION: Assessment is based upon inaccurate information concerning
this property, such as lot size, square footage, condition of property, flood plain, topography, zoning, etc.
APPLICANT INFORMATION
I believe the proper assessment of this property on January 1, 2006 should be:
Land:
Improvement:
Total:
Check One:
I am the owner of record
I am not the owner of record
If the applicant is not the owner of record of the subject property, the application must include a Letter of Authorization from the owner. Such
authorization must be signed by the owner prior to the date of application and either be written on the owner’s letterhead or notarized. For income
producing properties, a completed copy of the Fairfax County Department of Tax Administration annual income/expense survey, as submitted to
Fairfax County for the calendar years 2004 and 2005, along with applicable rent rolls, must be included with this application.
I hereby certify that the facts contained herein and attached hereto are true, accurate, and correct, to the best of my knowledge and belief.
Given under my hand this ______ day of _______________________, 2006
Signature of Applicant: _______________________________________________________________________________
Relation to property owner: (Attorney, Tax Rep., etc.): ______________________________________________________
Type or print name of applicant: ________________________________________________________________________
Phone: Work (
) __________________ Home (
) ___________________ E-Mail __________________________
Mailing address
: ______________________________________________________________________________________________
1. Applicant’s failure to complete all sections of this application and/or the failure of the representative of an owner to
include the owner’s authorization may result in a denial of the application for hearing.
2. When this appeal is filed, the valuation of both land and improvement are reopened and either or both may be
increased, decreased, or affirmed. A separate application must be made for each parcel.
3. Any appraisal report or professionally prepared opinion of value submitted with this application must be complete as
originally prepared. Partial reports will not be considered as valid evidence of value. Such valuation reports or
opinions must be signed by the original preparer.
Form Revised 2/2006

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