Form 11 C/i - Notice Of Assessment Of Land And Structures

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NOTICE OF ASSESSMENT OF LAND AND STRUCTURES - FORM 11 C/I
State Form 45650 (R3 / 9-00)
Prescribed by State Board of Tax Commissioners
This notice indicates the assessed value of your property and how the Township Assessor has determined that value. If you disagree with any of the informa-
tion listed, contact your Township Assessor for clarification. You have the right to appeal this assessment by filing a Petition For Review Of Assessment (Form
130) with the County Assessor within forty-five (45) days of the date this notice was mailed. You may obtain a copy of Form 130 at the County Assessor's office.
For more detailed information, you may obtain copies of your property record card from your local assessor.
Legal description
Name and address of property owner
Parcel or ID number
Property address
DESCRIPTION OF STRUCTURES
*
Story
Const.
Year
Year
Reproduction
Phys.
Remainder
Obsol.
ID
Use
Grade
Cond.
* Size or Area
True Tax Value
Height
Type
Const.
Remod.
Cost
Depr.
Value
Depr.
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
* Story height and size or area are determined by exterior measurements.
Previous Assessment (at 100%)
New Assessment Effective March 1, ______
Land
Land
Structures
Structures
Total
Total
Reason for revision of assessment:
County
Township
Date of notice
Township Assessor

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