Form Rp-7143 - Complaint On Tentative Telecommunications Ceiling Page 2
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4RP-7143 (1/15)
Page 2
PART ONE: GENERAL INFORMATION (Cont.)
3.
Designation of Representative (Optional)
I,
on behalf of complainant, hereby designate
to act as my representative in any and all proceedings for
purposes of reviewing the tentative telecommunications ceiling(s) for the year ___________.
Date
Signature of Complainant
Name, Address and Telephone Number of Representative:
Contact Person and Title
Street Address, City, State, Zip
(
)
(
)
Telephone Number
Fax Number
4.
Service on Adverse Party (Check one)
A copy of the complaint form and any supporting documentation must be served on each adverse party.
Yes
No
Have you attached the affidavit of service?
If no, the affidavit of service must be filed with the Commissioner on or before the hearing date.
PART TWO: GROUNDS FOR COMPLAINT
(Check one or more)
A.
Unequal Assessment
The tentative ceiling did not reflect the proper equalization rate or uniform percentage of full value for the
assessment roll in question.
B.
Improper Full Value
Full value of property is erroneous.
C.
Unlawful Assessment
1. Tangible property included in value is not mass telecommunications property.
2. Tangible property is owned by a municipal corporation.
3. Value includes property that is exempt.
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