Form Ptab-11-A - Industrial Appeal Page 4

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Section VI - Recent Construction Information
Submit evidence of recent construction of the subject property including the price paid for the land, construction costs of the
building(s), and include all labor costs. Include the complete and final statement from the general contractor. NOTE: If the
appellant provided any labor or acted as the general contractor, evidence of the value of this service should be included with the
evidence of the other construction costs.
The building was constructed, or remodeled, an addition added, or other building erected on _________________________
Date
Date Land Purchased ____________________________________
Total Cost: Land $____________________________
Improvement(s) $___________________________________
Does this amount include all costs incurred for the construction, such as contractor’s fees, architectural or engineering fees,
landscaping and/or building permits?
yes
no
Date the occupancy permit was issued. (Submit 2 copies.) ________________________________________________
Date the building was inhabitable and fit for occupancy or intended use_______________________________________
Date the remodeling was completed ________________________________________________________
Date the addition or other building was completed ____________________________________________
Did the owner, or a member of the owner’s family, act as the general contractor?
yes
no
If yes, what was the estimated value of the service? $_________________________________________
Was any non-compensated labor performed?
yes
no
If yes, please describe and provide an estimated value of the labor _______________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
NOTE: A Contractor’s Affidavit/Statement or documentation of the total cost must be submitted to
the Property Tax Appeal Board.
Section VII - Recent Photographs of the Subject Property and Comparable Properties
Page 4 of 4
PTAB-11-A (N-10/00)

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