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BOE U

NLY

Do not staple documents. Use paper clips. Read all instructions carefully

PPLICATION

UMBER

Application for Equalization of Real Property Assessment

Fairfax County Board of Equalization

TAX MAP REFERENCE NUMBER

of Real Estate Assessments

12000 Government Center Parkway, Suite 331

Fairfax, Virginia 22035-0033

Phone: 703-324-4891

2008 N

EFERENCE

UMBER

OUND ON UPPER RIGHT CORNER OF

OTICE OF

SSESSMENT

HANGE

TYPE OR PRINT INFORMATION CLEARLY.

SUBMIT ORIGINAL PLUS ONE COPY OF ALL DOCUMENTS TO BOE OFFICE.

DEADLINE: POSTMARKED JUNE 2, 2008 OR HAND-DELIVER TO BOE OFFICE BY 4:30 PM ON JUNE 2, 2008

Property Street Address:

Property Location (City):

Property Zip Code:

Building Name (if any):

Name of owner (s) on January 1, 2008:

2008 Assessment Notice Values, Land:

Building:

Total:

(

ASIS FOR APPEAL

YOU MUST SELECT AT LEAST ONE

FAIR MARKET VALUE

This property is assessed greater or less than its Fair Market Value.

LACK OF UNIFORMITY

This property assessment is out of line generally with similar properties.

ERRORS IN PROPERTY DESCRIPTION

Assessment is based upon inaccurate information concerning

this property, such as lot size, square footage, condition of property, flood plain, topography, zoning, etc.

OWNER/APPLICANT INFORMATION (M

)

UST

OMPLETED BY

WNERS OR

PPLICANTS

Please indicate as described below. I believe the proper assessment of this property on January 1, 2008 should be:

Total:

Land:

Building:

I hereby certify that the facts contained herein and attached hereto are true, accurate, and correct, to the best of my knowledge and belief.

Given under my hand this ______ day of _______________________, 2008

Signature of Applicant/Owner:________________________________________________________________________________

Print name of Applicant/Owner (if different from above): ____________________________________________________________

Phone: Work (

) ____________________ Home (

) ______________________ E-Mail _____________________________

Applicant/Owner Mailing Address (if different from property address):_____________________________________________

__________________________________________________________________________________________________________

HECK

AM THE OWNER OF RECORD

AM NOT THE OWNER OF RECORD

Relation to property owner: (Attorney, Tax Rep., etc.): _____________________________________________________________

of the subject property, the application must include an original Letter of Authorization from

F THE APPLICANT IS NOT THE OWNER OF RECORD

the owner. Such authorization must be signed by the owner prior to the date of application and either is written on the owner’s letterhead or notarized.

For income producing properties, a completed copy of the Fairfax County Department of Tax Administration annual income/expense survey, as

submitted to Fairfax County for the calendar years 2006 and 2007, along with applicable rent rolls, must be included with this application.

1. Applicant’s failure to complete all sections of this application and/or the failure of the representative

of an owner to include the owner’s authorization may result in a denial of the application for hearing.

PPLICANT

PLEASE NUMBER ALL

2. When this appea

is filed

the

increased, decreased, or

total assessment is reopened and may be

PAGES OF YOUR APPLICATION

affirmed. A separate application must be made for each parcel.

PPLICANT

ASE

3. Any appraisal report or professionally prepared opinion of value submitted with this application must

be complete as originally prepared. Partial reports will not be considered as valid evidence of value.

# 1

____

Such valuation reports or opinions must be signed by the original preparer.

AGE

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: B

____

_____P

OUNTY

ASE

EGINS ON

AGE

AGES

Form Revised 3/21/08

Application For Equalization Of Real Property Assessment - Fairfax County Board Of Equalization - 2008 Page 2

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