Form Otc 976 - Formal Appeal County Board Of Equalization - State Of Oklahoma - 2016
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1
2State of Oklahoma
OTC
Tax Year
Formal Appeal
976
2016
County Board of Equalization
________________________________ County
Revised 11-2015
Mail or deliver one copy to the County Board of Equalization secretary (county clerk) and one copy to the county
assessor. Appeals must be filed within ten (10) working days from the mailing or delivery date printed on the
county assessor’s informal hearing notice of decision.
Taxpayer Must Answer Completely - Please Print
Personal:
Residential:
Homestead Exemption:
Agricultural:
Commercial:
Other:
If Other, explain in “For the following reason(s)” below.
Account Number:
Your Name (Please Print):
Owner’s Name (If Different):
Taxpayer/Agent:
Other (Specify):
Taxpayer/Agent Address:
City:
State:
Zip:
Daytime Phone:
Other Phone:
Email Address:
Protested Property Address:
School
Legal Description:
District
The County Board of Equalization will notify the protestant of the hearing date, place and time.
The undersigned protestant appeals the action of the county assessor where the county assessor responded to the
petitioner’s protest of valuation as a result of the informal hearing as required by 68 O.S. Section 2876.
Informal hearing was held on (date): _______________________________________________________________
As a result of the informal hearing decision, the assessor’s stated value of $ ______________________________ ,
was
OR
was not (check one) adjusted.
The assessor’s adjusted value is $ ______________________________________ . (indicate N/A if no adjustment)
I am appealing the above stated value and believe the correct value to be $ ________________________________
For the following reason(s):
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Attach any supporting documentation, if needed.
✍
Protestant’s Signature: _______________________________________ Date: _______________________
Statutory provisions governing protest procedure are printed on the back of this form.
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