Petition Form To Local Board Of Review Special Equalization Session

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Iowa Department of Revenue
Petition to Local Board of Review
Special Equalization Session
This petition may be filed from October
Petition # _____________ Class ______________
16 through October 25 ONLY.
Parcel # __________________________________
To the Board of Review of the County/City of ____________________________ ,Iowa
The undersigned, ________________________________ , as owner (or duly authorized agent)
of the following described real estate:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
with the street address:
_________________________________________________________
_________________________________________________________
_________________________________________________________
does hereby object to the increase in the value imposed upon said property as the result of the 20
final
equalization order issued by the Iowa Director of Revenue. This petition contends that the application of the
Director’s final equalization order to the above described property will result in such property being valued in
excess of that permitted under Section 441.21 of the Iowa Code, based on the following facts:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
It is hereby requested that the 20
value of the above described property be established for tax purposes
as $ __________________________ , which is its actual value and is a fair assessment.
An oral hearing
Mailing Address: ________________________________________________________
is requested:
Tele # Home ________________________ Bus. or Cell _________________________
YES
NO
Signature ____________________________________________ Date ____________
(
)
owner or duly authorized agent
FOR USE BY BOARD OF REVIEW ONLY
Action Taken: ________________________________________________________________
Date: ______________________________
56-065a (8/27/07)

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