Form Pc 205 - Request For Sharing Of Non-Manufacturing Omitted Property Taxes
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1
2Request for Sharing of Non-Manufacturing Omitted Property Taxes
(Section 74.315, Wis. Stats.)
DOR USE ONLY
Please read the instructions on the reverse side before completing this form.
CASE NO.
This is the correct
Co Mun Code
Municipality Name
Year Tax Omitted Year added to Tax Roll
1
municipality name.
-
2
Real Estate Parcel No.
Personal Property Account No.
Is this parcel in a TID?
TID #
No
Yes
Name of Property Owner
3
Omitted Assessed Value
Real Estate
4
(a)
(b)
(c)
Class
Land
Improvement
Total (a + b)
Totals
5
Personal Property
Omitted Value
6
Net Omitted Taxes to be Shared With Taxing Jurisdictions – EXCLUDING INTEREST
Code
Name of Taxing Jurisdictions
Net Tax
a.
State of Wisconsin
b.
County
-
Special Dist.
c.1
c.2
-
Special Dist.
d.
Municipality (Local)
e.
-
School Dist.
See Help
f.
-
Union High School Dist.
g.
Technical College Dist.
Total Net Omitted Tax – EXCLUDING INTEREST
h.
Yes
No
7
a. Was the omitted tax offset by a related corresponding unlawful tax adjustment?
If Yes, provide Parcel/Account No.
Tax Amount
Yes
No
b. Was a chargeback form (PC-201) filed for this related parcel/account number?
8
Please explain, in detail, the circumstances of how/why the taxes were omitted under Sec. 70.44, Wis. Stats. (If space is insufficient,
you may attach further documentation to the PDF prior to filing. FAQ link for supported formats and procedures..)
I hereby certify to the best of my knowledge and belief this form is complete and correct.
9
Preparer's Name
Email Address
Check here if not providing an e-mail address
Signature not required if electronically filed.
Signature of Preparer
Preparer's Phone
PC 205 (N. 4 10)
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