Form Tc-194b - Request For Redetermination Of The County Board Of Equalization Decision

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Before the Utah State Tax Commission
TC-194B
Request for Redetermination of the County Board of Equalization Decision
11/13
Filed by County Assessor
Petitioner Information
Ex Rel Parties Information
County__________________________________________
Owner/Taxpayer
County Assessor’s name
Owner/Taxpayer name
Mailing address
Mailing address
Daytime phone number
Fax number
Daytime phone number
Fax number
Email address
Email address
Property Information
Note: You may use a single form for multiple parcels if they share the same ownership and are related
parcels or involve related issues.
Parcel number(s):______________________________________________ Tax assessment year: ______________________________
Location or address of property: ___________________________________________________________________________________
______________________________________________________________ County_________________________________________
Property Type:
Secondary residence
Primary residence (single unit)
Primary residence (2-3 units)
Commercial
Industrial
Apartment building (four of more units)
Vacant land commercial/industrial
Vacant Land residential
Agricultural/Greenbelt
Personal property (specify):_________________________________________________________________________________
If you are contesting the assessed value of the property, state your estimate of value: _________________________
NOTE: If contesting the County Board of Equalization’s determination of fair market value, you must provide information
to establish the fair market value of the property on January 1 of the year you are appealing.
Read Requirements and Sign
I understand I must complete this form and file it with the County auditor within 30 days after the date of the Board
of Equalization decision and I must provide a copy of this form to the owner/taxpayer which is the ex rel party.
I understand my appeal may be set for mediation and I will have the option to participate in mediation or proceed to a hearing.
____ Check here if you may want to participate in those proceedings by telephone.
I understand if I proceed to a hearing I must provide information supporting my position to the opposing party and to
the Utah State Tax Commission Appeals Unit 10 business days before the scheduled hearing and that notice of the
scheduled hearing date with addresses for the county and the Appeals Unit will be mailed to me. I further understand
if my information is not provided as directed, my information might not be accepted at the hearing
Name (print)
Signature
Date
X
Below is to be completed by the County Auditor
By submitting this form to the Tax Commission, I certify the County Board of Equalization (BOE) heard the owner/taxpayer’s
appeal, thedate of the BOE decision provided below, and that the Request for Reconsideration was timely received in my office.
I understand all documents required under Tax Commission Administrative Rule R861-1A-9(2) must be submitted to the Tax
Commission with this form. Please initial: ____________
Date of Boe decision
Original assessed value
Original taxes due
Value determined by BOE

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