Form 132 - Petition To The State Board Of Tax Commissioners For Review Of Exemption Page 2
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3SECTION III: GROUNDS FOR APPEAL
Check the specific statute exemption is claimed under:
Educational IC 6-1.1-10-16
Literary IC 6-1.1-10-16
Sceintific IC 6-1.1-10-16
Fraternal IC 6-1.1-10-16
Charitable IC 6-1.1-10-16
Other ____________________
Give specific statute cite
Pursuant to IC 6-1.1-15-3, you must identify specific reasons why the exemption determination by the County Board of Tax
Assessment Board of Appeals is believed to be incorrect. Use the following lines to explain the specific reasons WHY you
believe the action by the PTABOA is incorrect. Cite to applicable law or regulation.
SECTION IV: SIGNATURES
OWNER
I certify that my entries in SECTION I, SECTION II, and SECTION IlI are accurate to the best of my knowledge and belief. I also
understand that by appealing my exemption, my exemption may increase, may decrease, or may remain unchanged.
Date signed (month, day, year)
Signature of owner
Printed or typed name of owner
Title (please print or type)
ATTORNEY REPRESENTATIVE
I certify that the entries in SECTION I, SECTION ll, and SECTION III are accurate to the best of my knowledge and belief.
Date signed (month, day, year)
Signature of attorney representative
Printed or typed name of attorney representative
FORM 132 CHECKLIST
I have reviewed and attached the notice of action on exemption application (Form 120) issued by the County Property Tax
Assessment Board of Appeals
I have attached a copy of the application for exemption (Form 136) filed with the County
I have checked the type of property under appeal (real, personal, or both) on page 1
I have identified any other pending exemption appeals for this parcel, on page 1
I have completed Section I, Section II, Section III, and Section IV of this petition
I have signed this petition
If there are other related parcels currently under exemption appeal, a listing of these parcels has been attached
Form 132, page 2
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