Real Estate Assessment Appeal Application Form

Real Estate Assessment Appeal Application Form - 2006

REAL ESTATE

DTA Use Only:

ASSESSMENT APPEAL

APPEAL NUMBER:

APPLICATION

Assigned to Appraiser:

Fairfax County

Department Of Tax Administration

Real Estate Division

12000 Government Center Parkway

Suite 223

MAP REFERENCE NUMBER

Fairfax, Virginia 22035

Sub

Parcel or

Plat Number

Block

Telephone: (703) 222-8234. TTY: (703) 222-7594

Div

Lot Number

E-mail: dtared@fairfaxcounty.gov

Internet:

PROPERTY TYPE (circle one)

CURRENT ASSESSMENT INFORMATION

A. Single Family

F. Apartment Building

Year:

B. Townhouse

G. Industrial

Land Value:

C. Duplex

H. Office

Improvement Value:

D. Residential Condominium

I. Shopping Center

Total Value:

E. Vacant Land

J. Commercial Condo

K. Other (Specify)_____________________

APPEAL FORM REVISED 1/06

Owner(s):

Property Address:

Mailing Address:

E-mail Address:

I hereby certify the facts contained herein and attached are true and correct to the best of my

knowledge and belief.

Given under my hand this ___________ day of ________________________________, 20 _____

Printed Name

Signature

Daytime Phone Numbers: Work: ________________________ Home:

NOTE:

Original Letter of Authorization

If you are not the property owner, you must file an

signed by the owner. Signatures must be notarized or must appear on the property owner’s letterhead.

If you have questions please call (703) 222-8234.

Non-Residential Property Applicants:

Applicants with income producing property must

submit completed copies of the Fairfax County Department of Tax Administration’s Annual

Income/Expense Survey for the two most recent calendar years, along with applicable rent rolls.

1 of 4

Real Estate Assessment Appeal Application Form - 2006

Related Articles

Related forms

Related Categories