Form 3101 - Exhibit A - Appeal To Board Of Review By Taxpayer For Real And Personal Property - 2015

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DATE:
Form 3101
Appeal Mailing address:
Exhibit A
St. Tammany Parish Council
Appeal to Board of Review
P. O. Box 628
by Taxpayer
Covington, LA 70434
For Real and Personal Property
Fax: (985) 898-2593
2015
Tel: (985) 898-2591
PROPERTY OWNER / REPRESENTATIVE:
Name:
Parish/Council District of Appeal Property
___
Mailing Address:
City/State/Zip: _______________
__
__
Assessment/Tax Bill Number: _________
Residential / Commercial (Circle One)
Address or Legal Description of Property being Appealed. (For commercial property, please also identify
property by name of business.): ____________________________________________________________________
_______________________________________________________________________________________________
I hereby appeal the assessment of the above described property pursuant to L.R.S. 47:1992. I timely filed
my reports (if personal property) as required by law, and I have previously submitted a request for review of my
property assessment to the Assessor’s Office.
Fair Market Value
(Land & Residential Property = 10 X Assessed Value)(Commercial and Movable Property = 6.67 X Assessed Value)
The assessor has determined Fair Market Value of this property at:
Land $
*Improvement $
Total $ _________________________
I am requesting that the Fair Market Value of this property be fixed at:
Land $
*Improvement $
Total $ _________________________
Assessed Value
(Land & Residential Property: 10% of Fair Market Value)(Commercial & Movable Property: 15% of Fair Market Value)
The assessor has determined assessed value of this property at:
Land $
* Improvement $
Total $ ________________________
I am requesting that the assessed value of this property be fixed at:
Land $
* Improvement $ __________________ Total $ ________________________
*
: Report personal property on Improvement line above, if applicable.
NOTE
I understand that property is assessed at a percentage of fair market value as of January 1, 2011 which
means the price for the property which would be agreed upon between a willing and informed buyer and a
willing and informed seller under usual and ordinary circumstances, the highest price the property would bring
on the open market if exposed for sale for a reasonable time. I understand that I must provide the Board of
Review with evidence of fair market value to support my claim.
Please notify me of the date, place and time of my appeal at the
NOTE: If appellant disputes Board of
telephone number(s) & email address shown below.
Review’s
decision,
appellant
may
appeal to La. Tax Commission (LTC)
Appellant (Taxpayer/Representative) _____________________ _
by completing and submitting Appeal
Form 3103.A to LTC within 10 days of
Mailing Address: ________________________________________
date
of
BoR’s
written
postal
_______________________________________________________
determination.
Email: _________________________________________________
For further information, call LTC at
(225) 925-7830
Daytime Phone No.:(_____)________________________________
Cell
Phone
No.:
(_______)
___________________
Date of Appeal: __________________________________________
Requests for review are due to the Parish Council Office by September 14, 2015 and will be heard in the St. Tammany
Parish Council Chambers, 21490 Koop Drive (off Hwy. 59, north of I-12), Mandeville, La. between September 22 and
September 30, 2015. Appellants will be contacted and advised of hearing date & time.

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