Form Ptab-1-A - Residential Appeal (Page 4 of 4) in pdf

Section VI — Recent Construction Information on Your Residence

Submit evidence of recent construction of the subject property including the price paid for the land and construction of the building

including all labor. Note: If the appellant provided any labor or acted as general contractor, evidence of the value of this service

should be included with the evidence of the other construction costs.

The residence was constructed, or remodeled, an addition added, or other building erected on _________________________.

Date

Date Land Purchased_________________________________

Total cost of the

Land $_______________________

Building(s) $_______________________

Does this amount include all costs incurred for the construction, such as contractor's fees, architectural or engineering fees,

landscaping of homesite, and/or building permits?

yes

You must supply a Contractor's Affidavit or a written summary of the total cost to the Property Tax Appeal Board.

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(s) was completed_________________________________________________________

Did owner or member of owner's family act as the general contractor?

yes

If yes, what was the estimated value of the service? $______________

Was any non-compensated labor performed?

yes

If yes, please describe and provide estimated value of 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 Photograph of Subject Property and Comparable Properties

Page 4

PTAB-1-A (R-7/02)

Form Ptab-1-A - Residential Appeal Page 4