RP-305-L (01/95)
2
INSTRUCTIONS FOR NOTICE OF CONVERSION AND PAYMENT DUE
Addressee
The form should be addressed to the owner of the parcel as the name and address appears
on the most recent assessment roll subject to the payment or the resulting tax lien. This notice
should be sent to the owner(s) of any parcel(s) which has been subdivided from any parcel
originally benefiting from the program.
Tax Map Number
The tax map identification number should be entered here.
Grievance Day
The date, place and time of the grievance day of the assessing unit should be entered.
Signature
The form should be signed by the assessor of the assessing unit who calculated the payment.