RP-554
Department of Taxation and Finance
Office of Real Property Tax Services
Application for Corrected Tax Roll
(12/17)
Part 1 – General information: To be completed in duplicate by the applicant.
Names of owners
Mailing address of owners (number and street or PO box)
Location of property (street address)
City, village, or post office
State
ZIP code
City, town, or village
State
ZIP code
Daytime contact number
Evening contact number
Tax map number of section/block/lot: Property identification (see tax bill or assessment roll)
Account number (as appears on tax bill)
Amount of taxes currently billed
Reasons for requesting a correction to tax roll:
I hereby request a correction of tax levied by
for the year(s)
.
(County, city, village, etc.)
Signature of applicant
Date
Part 2 – To be completed by the County Director or Village Assessor. Attach a written report including
documentation and recommendation. Specify the type of error and paragraph of subdivision 2, 3, or 7 of
Section 550 under which the error falls. If a Directed reinstatement, see instructions.
Date application received
Period of warrant for collection of taxes
Last day for collection of taxes without interest
Recommendation
Approve application
Deny application
Signature of official
Date
If approved, the County Director must file a copy of this form with the assessor and board of assessment review of the
city/town/village of
who must consider the attached report and recommendation as equivalent
of petitions filed under section 553.
Part 3 – For use by the tax levying body or official designated by resolution
:
(insert number or date, if applicable)
Application approved (mark an X in the applicable box):
Clerical error
Error in essential fact
Unlawful Entry
Directed reinstatement
Amount of taxes currently billed
Corrected tax
Date notice of approval mailed to applicant
Date order transmitted to collecting officer
Application denied
:
(reason)
Signature of chief executive officer, or official designated by resolution
Date