PETITION FOR REVIEW OF ASSESSMENT
BEFORE THE INDIANA BOARD OF TAX REVIEW
IBTR PETITION NUMBER
State Form 42936 (R9 / 9-15) / IBTR Form 131
Prescribed by the Indiana Board of Tax Review
1. Complete all sections of this petition.
__ __ -- __ __ __ -- __ __ --
-- __ -- __ __ __ __ __ -- __ __
2. File this petition with the:
Indiana Board of Tax Review
100 North Senate Avenue, Room N-1026
Indianapolis, IN 46204
3. Mail a copy of this petition to the other party.
Information regarding appeal procedures is available on the Indiana Board of Tax Review (IBTR) website located at
FILING DEADLINE: This petition must be filed not later than forty-five (45) days after the Notification of Final Assessment Determination is given to the
taxpayer. If the maximum time period for the county board to hold a hearing or to give notice of its determination has passed, the Petitioner may initiate an
appeal to the IBTR.
ATTACHMENTS TO THIS PETITION: The following information must be attached to this petition.
1. A copy of the written notice, Form 130 (State Form 21513), or Form 130-Short (State Form 53958) filed to initiate this appeal.
2. A copy of the Notification of Final Assessment Determination (State Form 20916 / Form 115). The Form 115 is not required if the maximum time period
for the county board to act has passed, or if there is a Standard Form Agreement (State Form 55853) waiving a determination by the county board.
3. The petition must be signed by the Petitioner or an authorized representative. A representative must attach a notarized power of attorney unless the
representative is an attorney licensed to practice law in Indiana, or a duly authorized employee or corporate officer of the taxpayer.
4. Certified Tax Representatives must attach a Tax Representative Disclosure Statement.
5. A listing of other related parcels that are currently on appeal.
Multiple years, multiple parcels, or multiple types of property (real and personal) require separate petitions, except that a party may ask the
IBTR for permission to file a single petition for multiple parcels where the parcels are contiguous and the issues to be appealed on each parcel are
FAILURE TO FOLLOW INSTRUCTIONS: The Petitioner must complete all sections of this petition. If the Petitioner does not comply with the instructions
for completing this form, the IBTR may return the petition to the Petitioner with a description of the defect. The Petitioner will then have thirty (30) days from
the date of the notice of defect to cure the defect and file a corrected petition. If the corrected petition does not comply with the instructions for completing the
form, the IBTR may deny the petition.
Type of appeal (check only one ):
Other - Explain in Section 3.
Is this property currently under appeal with the Indiana Board of Tax Review for another tax year?
If yes, indicate year(s) and type of appeal(s): _____________________________________________________________________
Is this a direct appeal to the IBTR?
If yes, indicate the reason for appealing directly to the IBTR.
The maximum time period for the county board to act has passed.
Agreement to waive the county board determination. Standard Form Agreement (State Form 55853) must be attached.
SECTION 1: PROPERTY AND PETITIONER INFORMATION
Parcel or Key number (for real property)
Address of property (number and street or rural route)
Legal description provided on Form 11 or Property Record Card (for real property) , or business name (for personal property)
Assessment year under appeal
Petitioner Address (number and street or rural route)
Name of authorized representative (if different from Petitioner)
Address of authorized representative (number and street or rural route)
SECTION 2: SMALL CLAIMS OPTION
If the assessed value of the property does not exceed $1,000,000, the petition is subject to the small claims rules. The Petitioner may elect to opt-out of
the small claims rules and be subject to the more formal standard procedural rules. Before making the election, please review both the small claims rules
(52 IAC 3) and the more formal standard procedural rules (52 IAC 2) available on the IBTR website.
ACCEPT SMALL CLAIMS
OPT-OUT OF SMALL CLAIMS
Form 131, page 1
Form 131, page 1