Richmond Board Of Equalization Application Form (Page 2 of 2) in pdf

Richmond Board Of Equalization Application Form Page 2

App#: BOE17-___________

RICHMOND BOARD OF EQUALIZATION APPLICATION

2017

The undersigned taxpayer respectfully makes application for an assessment review of the

following property:

Map Reference Number

____ - ___ ___ ___- ___ ___ ___ ___ - ___ ___

___

(L)

(S) (S) (S)

(B) (B) (B)

(B)

(P) (P)

(P)

Address of Property

______________________________________________________

Owner of Record

______________________________________________________

Previous Assessment

Current Assessment

State the supported change of assessment:

Land

$___________

Land

$___________

Land

$____________

Bldg

$___________

Bldg

$___________

Bldg

$____________

Total

$___________

Total

$___________

Total

$____________

1 Single Family

1 2-4 Family

1 Multi-Family

1Commercial/Industrial

Brief Description of Property:

1 Assessment is inequitable with similar property

1 Assessment exceeds market value

Reason(s) for Request:

Briefly summarize your supported conclusion for either or both reasons for review. Attach to this form all data and

detailed information to be considered and supportive of your request.

I certify that the descriptions and statements contained in this application are to the best of my knowledge

both correct and true. Given under my hand this ________day of ___________________, 2016.

Owner/Registered Agent _____________________________________/__________________________________

Print Name

Sign Name

Mailing Address _______________________________________________________________________________

Telephone #

________________________

(Note:

Registered Agents must attach a notarized authorization)

Email Address:

__________________________________________________

Richmond Board of Equalization • 900 East Broad Street, Room 801 • Richmond, Virginia 23219

Phone: (804) 646-7910

Email:

Revised 3/23/2016

Richmond Board Of Equalization Application Form Page 2

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