Form 82130r - Residential Petition For Review Of Valuation Page 3

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FOR OFFICIAL USE ONLY
RESIDENTIAL PETITION FOR REVIEW OF VALUATION
PURSUANT TO A.R.S. TITLE 42, Ch. 15, Art. 3 and Ch. 16, Art. 1-5
FILED FOR TAX YEAR _____________
See instructions for complete fi ling requirements.
The County Assessor reserves the right to reject any petition not meeting statutory requirements. Only one petition for each parcel will
be accepted. Any duplicate petitions will be returned.
COMPLETE SECTIONS 1 THROUGH 8 WHERE APPLICABLE. TYPE OR PRINT.
1.
DATE FILED ___________________ COUNTY _________________________ BOOK ____________ MAP ___________ PARCEL ___________
2A. IF THIS PROPERTY IS RENTED TO SOMEONE OTHER THAN A FAMILY MEMBER, CHECK HERE
. 2B. MULTIPLE PARCELS? YES
NO
3A. OWNER’S NAME
3B. MAIL DECISION TO: (IF DIFFERENT THAN 3A)
NAME
NAME
ADDRESS
ADDRESS
CITY, STATE, ZIP CODE
CITY, STATE, ZIP CODE
3C. IF OWNERSHIP HAS CHANGED CHECK HERE
. ATTACH RECORDED DOCUMENTATION.
4. PETITION COMPLETED BY: (Specify: owner, Agent, Attorney, etc.)
NAME
TELEPHONE
ADDRESS
CITY, STATE, ZIP CODE
AGENTS ONLY: STATE BOARD OF APPRAISAL NUMBER _____________________________
SBOE NUMBER ___________________________
5. BASIS FOR THIS PETITION: MARKET SALES APPROACH
COST APPROACH
OTHER
(explain below)
Additional documents submitted must contain the book, map, and parcel number and be attached to the petition in order to be considered by the Assessor.
Evidence contained in this appeal could be the basis for either increasing or decreasing the valuation or changing the legal classifi cation.
LIMITED
LEGAL
ASMT
VALUE SHOWN ON
FULL CASH
6.
PROPERTY
CLASS
RATIO
NOTICE OF VALUE
VALUE
$
VALUE
$
LIMITED
LEGAL
ASMT
7.
OWNER’S OPINION
FULL CASH
PROPERTY
CLASS
OF VALUE
RATIO
VALUE
$
VALUE
$
8.
I HEREBY AFFIRM THAT THE INFORMATION INCLUDED OR ATTACHED IS
TO REQUEST A MEETING WITH THE ASSESSOR CHECK HERE.
TRUE AND CORRECT.
FOR SBOE (IN MARICOPA AND PIMA COUNTIES ONLY):
X
If you want this appeal to be heard “On The Record” check here.
_____________________________________________________________
SIGNATURE OF PROPERTY OWNER OR REPRESENTATIVE
This means that neither you, the Assessor, your Agent, or
Attorney (if applicable) will appear before the State Board of
________________________________
___________________________________________
Equalization to offer testimony. Submit any additional written or
TELEPHONE
EMAIL ADDRESS
typed information with this appeal to the SBOE.
LIMITED
ASSESSOR’S
LEGAL
ASMT
FULL CASH
PROPERTY
DECISION
CLASS
RATIO
VALUE
$
VALUE
$
BASIS FOR DECISION:
DATE RECEIVED
DATE DECISION MAILED
REVIEWED BY
ASSESSOR OR CHIEF DEPUTY
COUNTY BOARD OF
LIMITED
LEGAL
ASMT
FULL CASH
EQUALIZATION
PROPERTY
CLASS
RATIO
DECISION
VALUE
$
VALUE
$
BASIS FOR DECISION:
DATE RECEIVED
DATE DECISION MAILED
CHAIRMAN OR CLERK OF THE BOARD
82130R (02/2011)

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