Form 15-Dpt-Ar - Petition For Abatement Or Refund Of Taxes Page 2

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FOR ASSESSORS AND COUNTY COMMISSIONERS USE ONLY
(Section III or Section IV must be completed)
Every petition for abatement or refund filed pursuant to § 39-10-114, C.R.S. shall be acted upon pursuant to the provisions of this section by the
Board of County Commissioners or the Assessor, as appropriate, within six months of the date of filing such petition, § 39-1-113(1.7), C.R.S.
Written Mutual Agreement of Assessor and Petitioner
Section III:
(Only for abatements up to $10,000)
The Commissioners of _______________________ County authorize the Assessor by Resolution No.
to review petitions for abatement or refund and to settle by written mutual agreement any such petition for
abatement or refund in an amount of $10,000 or less per tract, parcel, or lot of land or per schedule of personal
property, in accordance with § 39-1-113(1.5), C.R.S.
The Assessor and Petitioner mutually agree to the values and tax abatement/refund of:
Tax Year __________
Actual
Assessed
Tax
Original
________________ ________________ ______________
Corrected
________________ ________________ ______________
Abate/Refund
Note: The total tax amount does not include accrued interest, penalties, and fees associated with late and/or delinquent tax payments, if
applicable. Please contact the County Treasurer for full payment information.
___________________________________________
Petitioner’s Signature
Date
___________________________________________
Assessor’s or Deputy Assessor’s Signature
Date
Decision of the County Commissioners
Section IV:
(Must be completed if Section III does not apply)
WHEREAS, the County Commissioners of _________________ County, State of Colorado, at a duly and lawfully
called regular meeting held on _____/_____/_____, at which meeting there were present the following members:
Month
Day
Year
___________________________________________________________________________________________
___________________________________________________________________________________________
with notice of such meeting and an opportunity to be present having been given to the Petitioner and the Assessor
of said County and Assessor _______________________________________(being present--not present) and
Name
Petitioner __________________________________(being present--not present), and WHEREAS, the said
Name
County Commissioners have carefully considered the within petition, and are fully advised in relation thereto,
NOW BE IT RESOLVED that the Board (agrees--does not agree) with the recommendation of the Assessor,
and that the petition be (approved--approved in part--denied) with an abatement/refund as follows:
______
______________
_______________
Year
Assessed Value
Taxes Abate/Refund
____________________________________________
Chairperson of the Board of County Commissioners’ Signature
I, _______________________________County Clerk and Ex-Officio Clerk of the Board of County Commissioners
in and for the aforementioned county, do hereby certify that the above and foregoing order is truly copied from the
record of the proceedings of the Board of County Commissioners.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said County
this ___________ day of__________________, _________.
Month
Year
____________________________________________
County Clerk’s or Deputy County Clerk’s Signature
Note: Abatements greater than $10,000 per schedule, per year, must be submitted in duplicate to the Property Tax Administrator for review.
Action of the Property Tax Administrator
Section V:
(For all abatements greater than $10,000)
The action of the Board of County Commissioners, relative to this petition, is hereby
Approved
Approved in part $___________________
Denied for the following reason(s):
____________________________________
_____________________________
__________
Secretary’s Signature
Property Tax Administrator’s Signature
Date
15-DPT-AR No. 920-66/11

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