Re1 Supplemental: Single Family Residential Form - St. Louis County Board Of Equalization
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1RE1 SUPPLEMENTAL: SINGLE FAMILY RESIDENTIAL
St. Louis County Board of Equalization (BOE)
41 S. Central Avenue, Clayton, MO 63105
This form must be completed and brought to ALL appeals of single family residential
Locator or Account Number: __________________
Please attach documentation supporting the owner’s opinion of market value, such as copies of recent appraisals, construction
costs (if built within the last five years), repair estimates, photographs of deferred maintenance, or recent sales contract,
including closing statement, similar homes that are listed or have sold (include addresses & pictures).
Use of property (owner occupied, rented, farmed, etc.): _____________________________________________________________
Is this a newly constructed residence? ________________
If yes, date of occupancy: ___________________________________
Date acquired: ________________________
Total purchase price if acquired since 2005: ________________________________
How was property acquired? _________________
Did purchase price represent market value at time of purchase? ___________
If not, why? _________________________________________________________________________________________________
Year Built: _________________________________
Describe all improvements made since acquisition, including cost and date completed (excluding routine maintenance):
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
I, the undersigned, declare and certify that I am personally familiar with the operation of the subject property and that the figures
shown above, or attached hereto, are true and actual for the years shown. (For all real property described by locator number listed
above) as shown by owner’s books and records.
Certifier’s Signature: _____________________________________ Address of Certifier: _________________________________________________
Print Name: ____________________________________________ City, State, Zip: ____________________________________________________
Relationship of Certifier to Owner: __________________________
Daytime Phone Number of Certifier: ____________________________________
Email: _________________________________________
Email: ___________________________________________________
See other attachments
______ Documentation supporting owner’s opinion of value such as appraisals, construction & repair estimates, photos, sales
contracts, etc.
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