Form Tc 109 - Application For Correction Of Assessed Value Of Condominium Property Page 2

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6. CLAIMED VALUE AND GROUNDS FOR OB JEC TION - E st imated mar ket value must be stated.

Ap pli cant ob jects to the as sess ment on the grounds that it is

Con do min ium as a whole

Units cov ered by ap pli ca tion

une qual or ex ces sive be cause of over valua tion, as fol lows:

a. Ten ta tive ac tual as sess ment

$ ____________________

$____________________

b. Ap pli cant’s es ti mate of mar ket value

$ ____________________

$____________________

5__________%

c. Es ti mated class as sess ment ra tios

d. Re quested as sessed valua tion = line b 5 line c

$ ____________________

e. Num ber of tax lots

_____________

Do not use this form to claim un law ful as sess ment, mis clas si fi ca tion, or er ror in de ter min ing the amount of an ex emp tion; use form TC 106.

In for ma tion in sup port of mar ket value es ti mate _______________________________________________________________________________

_______________________________________________________________________________________________________________________

7. PROP ERTY DE SCRIP TION - De scribe the en tire con do min ium. State gross floor area if known.

NUM BER OF BUILD INGS

STO RIES ABOVE GRADE

YEAR OF CON STRUC TION (est.)

YEAR AND NA TURE OF LAST MA JOR AD DI TION OR AL TERA TION

Uses (apart ments, ho tel, of fices, park ing, stores, fac tory, ware house, etc.):

Lot num bers

Floors 3 - ____

_______________________________________________________________________

______________________

Sec ond floor

_______________________________________________________________________

______________________

First floor

_______________________________________________________________________

_______________________

Base ments

_______________________________________________________________________

Outdoor space

_______________________________________________________________________

______________________

Gross floor area (ap prox.) All uses (above grade)

Stores

Ga rage

Of fices

UP PER FLOORS

sq. ft.

FIRST FLOOR

sq. ft.

BASE MENTS

sq. ft.

TO TAL AREA

sq. ft.

u Is any part of the prop erty used for ve hi cle park ing?

_____ If yes, number of in door spaces _______

u Is any part of the prop erty used for other non resi den tial pur poses?

_____ If yes, number of stores _______

u Has any con struc tion or ma jor al tera tion work been done dur ing the past two years?

_____ If yes, sub mit form TC 200.

8. OATH OR CERTIFICATION

This ap pli ca tion must be signed by an of fi cer of the board of managers or other ap pli cant named on the first page or by an author ized in di vid ual hav ing per sonal

knowl edge of the facts. The presi dent or other of fi cer of a cor po rate ap pli cant may sign. If an agent who is not an of fi cer signs, at tach a no ta rized power of at tor ney

signed by the ap pli cant and Tax Com mis sion form TC 244 Agent’s State ment of Author ity and Knowl edge .

Print name of person signing _____________________________________________ If signing as corporate officer, specify name of corporation and officer’s title.

Name of corporation ____________________________________________________________________________ Title ________________________________

Signer or corporation is: ¨ The applicant.

¨ General partner of partnership applicant. ¨ Member or manager of limited liability company applicant.

¨ Officer of the board of managers.

¨ An attorney or other agent. A notarized power of attorney and form TC 244 must be attached.

I, the person whose signature appears below, swear, affirm or certify under penalty of perjury that the statements contained

in this application, including attachments, are true to my personal knowledge.

Signed

: ______________________________________________________________

For other than class one property signer must acknowledge before a notary or Department of Finance assessor.

County _______________________ State ______________ Date _________________

Sworn to bef ore me: