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2008 REAL ESTATE ASSESSMENT APPEAL APPLICATION

Department Of Tax Administration (DTA)

Tax Map Reference Number

Fairfax County Real Estate Division

__ __ __ __ __ __ __ __ __ __ __ __ __ __

12000 Government Center Parkway, Suite 357

Fairfax, Virginia 22035

703-222-8234

Telephone:

DTA USE ONLY

NBHD #:

TTY: 703-222-7594; Español 703-324-3855

Appeal Number: ________________________

Assigned to Appr: ____ Date Due: ___/___ /___

Internet:

APPEAL DEADLINE IS APRIL 18

Appeals received after the deadline will not be processed until the coming year’s assessment review is complete

Address of Property Being Appealed:

Property Location (City):

Property Zip Code:

Building Name (if any):

Name of owner (s) on January 1st:

2008 Assessment Notice Values, Land:

Building:

Total:

, under state law neither financial impact nor the rate of value change is by itself sufficient

LEASE NOTE

grounds for appeal. As required, DTA’s assessment is an estimate of fair market value as of

January 1

. We do welcome appeals based on things such as factual discrepancies or demonstrable

issues of uniformity or fair market value. Please select your appeal basis (you must select at least one):

FAIR MARKET VALUE:

This property is assessed greater or less than its Fair Market Value as indicated by a review of comparable properties

(see reverse side of form).

LACK OF UNIFORMITY:

This property assessment is out of line generally with similar properties (see reverse side of form).

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. Accurate property characteristic details are listed on the reverse side of this form.

)

OWNER/APPLICANT INFORMATION (must be completed by all owners or applicants

Based on this appeal information, I believe the proper assessment of this property as of January 1, 2008 should be:

Land:

Building:

Total:

I hereby certify that the facts contained herein and attached hereto are true,

accurate, and correct, to the best of my knowledge and belief.

If applicant is not the owner of record, application must include

an original Letter of Authorization from the owner, signed prior

Given under my hand this ______ day of __________________, 20___

to date of application, either notarized or on owner’s commercial

letterhead. Two most recent Annual income/expense surveys

Signature of Applicant/Owner:_________________________________

along with current rent roll must be submitted with appeals on

income producing properties.

Print name of Applicant/Owner : _______________________________

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

CONTINUED ON REVERSE SIDE

Revised 02/04/08

2008 Real Estate Assessment Appeal Application - Virginia Department Of Tax Administration

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