Form Cta-Pvx - Property Valuation Exemption
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5BEFORE THE BOARD OF TAX APPEALS OF THE STATE OF KANSAS
PROPERTY VALUATION EXEMPTION
(State Assessed Property)
APPLICANT:
(
)
For State of Kansas use only
__________________________________________
Applicant Name (Owner of Record)
__________________________________________
Applicant Address (Street or Box No.)
__________________________________________
City
State
Zip
DOCKET NO.__________________-PVX
Applicant Phone #:(____)_____________________
Applicant E-mail: ___________________________
Fee:_____________
Amt Rec.__________
Rec. Date:________
Ck #______________
ATTORNEY OR REPRESENTATIVE:
(If applicable)*
No Fee:__________
Reason: ___________
__________________________________________
Representative Name
Title
__________________________________________
Representative Address
(
)
For PVD use only
__________________________________________
City
State
Zip
Parcel ID # or ID # used by PVD:
Atty/Rep Phone #:(_____)_____________________
Representative E-mail:________________________
___________________________________
___________________________________
___________________________________
Taxing County:_____________________________
:$_____________________
PVD’s valuation
Year/Years at issue: _________________________
: __________________
LBCS Function Code
Property at issue:
Real Property---Street address, city: ___________________________________________________
Personal Property---Description:______________________________________________________
CTA-PVX (Rev. 7/14)
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Parent category: Financial