Property Tax Appeal Form - Montana Department Of Revenue Page 2
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1
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3PROPERTY TAX APPEAL FORM
Page 2 of 3
Read directions on first page before completing
FOR CTAB USE ONLY
File this appeal with the Clerk and Recorder in the County in which the property is located. File on or
before the First Monday in June or within 30 days of the time you receive your Notice of
Date Filed :
Assessment or revised assessment notice of real property subject to taxation or your
Assessment list of personal property from the Montana Department of Revenue. (for the purpose
Docket # :
of a tax appeal, your notice of taxes due from the County Treasurer is not considered a notice of
change or assessment.) You may also appeal a decision made by the Department of Revenue based
Received by :
upon your informal review. You must file the appeal of the outcome of the informal review conference
within 30 days of the receipt of the Department of Revenue decision.
THE FOLLOWING SECTION MUST BE COMPLETED IN FULL
Taxpayer Information
Legal Description of Property
Name of Taxpayer
Lot(s)
:
as shown on tax rolls
Block(s)
Mailing Address
Addition/Subdivision
City/Town
(NAME)
County
City/Town
Zip Code
Street Address
Contact Phone No.
Was an AB-26 Form filed with the DOR?
Alternate Phone No.
If YES/Date
No
YES
No. of Acres:
Section:
Township:
Range:
GEO Code:
Appraised Value as Determined
Appraised Value set by County
Appraised Value set by
by Taxpayer
Board Decision
Department of Revenue
Land
Buildings
Personal Property
Reason for Appeal:
Name of Taxpayer:
Date:
Signature of taxpayer: ____________________________________________
I hereby Authorize
(name of agent) to represent me in this matter.
Date:
Signature of taxpayer:____________________________________________
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