50-707
b.
PRINT FORM
CLEAR FORM
(Rev.10-09/6)
Appointment of Arbitrator - Change Request Form
52235
a.
c. Property owner or agent number
d. Arbitration identification number
e. ARB order number
f. Property owner name
g. Address of property in protest
i. Hearing Date
h. County
j. No hearing date has been set
Request is hereby made for a substitute arbitrator for the following reason:
a.
The arbitrator originally appointed has an interest in the outcome of the arbitration.
(Attach evidence
substantiating your request.)
b.
The arbitrator originally appointed is related to the owner; an officer, employee or contractor of the appraisal
district; or a member of the appraisal district board of directors or appraisal review board by affinity within
the second degree or by consanguinity within the third degree as determined under Government Code,
Chapter 573.
(Attach evidence substantiating your request.)
c. Arbitrator Name
d. Arbitrator Taxpayer ID#
Only one signature is required.
Property Owner/Agent
Date
Chief Appraiser/Agent
Date
Comptroller Rule 9.804(d)(6) states that the owner or appraisal district may request a substitute arbitrator
before the arbitration proceedings begin.
Mail completed form to: Texas Comptroller
For assistance, call:
(800) 252-9121
Property Tax Assistance Division
P.O. Box 13528
FAX: (512) 463-8354
Austin, TX 78711-3528
You have certain rights under Chapters 552 and 559, Tex. Govt. Code, to review, request and correct information we have on file about you.
Contact us at the address or phone number listed on this form.