Form Dor 82130 - Petition For Review Of Real Property Valuation Page 3

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FOR OFFICIAL USE ONLY
PETITION FOR REVIEW OF REAL PROPERTY 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 information
In all counties, mail or hand deliver one copy of this completed petition to the County Assessor. Retain a copy for your records (and for use in
possible further appeals). Taxpayers receiving a Notice of Value have sixty days from the date the notice was mailed to fi le this petition.
United States Postal Service postmark dates are evidence of the dates petitions were fi led and decisions were mailed.
The County Assessor may reject any petition not meeting statutory requirements. Only one petition for each parcel or economic unit will
be accepted. Any duplicate petition(s) will be returned.
COMPLETE SECTIONS 1 THROUGH 10 WHERE APPLICABLE. TYPE OR PRINT
1.
DATE FILED __________________ COUNTY __________________ BOOK ________________ MAP _________ PARCEL _____________
2.
PROPERTY ADDRESS OR LEGAL DESCRIPTION: __________________________________________________________________________
3.
IF THIS IS A MULTIPLE PARCEL APPEAL CHECK HERE
. ATTACH A MULTIPLE PARCEL APPEAL FORM (DOR 82131). SEE INSTRUCTIONS.
4.
USE OF PROPERTY: COMMERCIAL / INDUSTRIAL
(SPECIFY TYPE: Apartment, Offi ce, warehouse, etc.) _________________________
VACANT LAND
AGRICULTURAL
OTHER
5A. OWNER’S NAME
5B. MAIL DECISION TO: (IF DIFFERENT THAN 5A)
NAME
NAME
ADDRESS
ADDRESS
CITY, STATE, ZIP CODE
CITY, STATE, ZIP CODE
5C. IF OWNERSHIP HAS CHANGED CHECK HERE
. ATTACH RECORDED DOCUMENTATION.
6.
PETITION COMPLETED BY: (Specify Owner, Agent, Attorney, etc.)
NAME
TELEPHONE
ADDRESS
CITY, STATE, ZIP CODE
AGENTS ONLY: STATE BOARD OF APPRAISAL NUMBER ______________________
STATE BOARD OF EQUALIZATION NUMBER
7.
BASIS FOR PETITION: MARKET SALES APPROACH
COST APPROACH
INCOME 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 of the property.
LIMITED
FULL CASH
VALUE SHOWN ON
LEGAL
ASMT
8.
PROPERTY
RATIO
NOTICE OF VALUE
VALUE
$
CLASS
VALUE
$
LIMITED
FULL CASH
OWNER’S OPINION
LEGAL
ASMT
9.
PROPERTY
VALUE
$
CLASS
RATIO
OF VALUE
VALUE
$
10.
I HEREBY AFFIRM THAT THE INFORMATION INCLUDED OR
TO REQUEST A MEETING WITH THE ASSESSOR CHECK HERE.
ATTACHED IS TRUE AND CORRECT.
FOR SBOE (IN MARICOPA AND PIMA COUNTIES ONLY):
If you want this appeal to be heard “On The Record” check here.
X
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
typed information with this appeal to the SBOE.
LIMITED
ASSESSOR’S
LEGAL
FULL CASH
ASMT
PROPERTY
CLASS
DECISION
VALUE
$
RATIO
VALUE
$
BASIS FOR DECISION:
DATE RECEIVED
DATE DECISION MAILED
REVIEWED BY
ASSESSOR OR CHIEF DEPUTY
COUNTY BOARD OF
LIMITED
FULL CASH
LEGAL
ASMT
EQUALIZATION
PROPERTY
VALUE
$
CLASS
VALUE
$
RATIO
DECISION
BASIS FOR DECISION:
DATE RECEIVED
DATE DECISION MAILED
CHAIRMAN OR CLERK OF THE BOARD
DOR 82130 (02/2011)

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