Division Of Property Valuation Appeal

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BEFORE THE BOARD OF TAX APPEALS OF THE STATE OF KANSAS
DIVISION OF PROPERTY VALUATION APPEAL
(State Assessed Property)
(K.S.A. 74-2438)
APPLICANT:
(
)
For State of Kansas use only
__________________________________________
Applicant Name (Owner of Record)
__________________________________________
Applicant Address (Street or Box No.)
__________________________________________
City
State
Zip
DOCKET NO.___________________-PV
Applicant Phone #:(____)_____________________
Applicant E-mail: ___________________________
Fee:_____________
Amt Rec.__________
Rec. Date:________
Ck #______________
ATTORNEY OR REPRESENTATIVE:
(If applicable)*
No Fee:__________
Reason: ___________
__________________________________________
Representative Name
Title
__________________________________________
Representative Address
__________________________________________
City
State
Zip
Atty/Rep Phone #:(_____)_____________________
Representative E-mail:________________________
PVD ID #:_________________________________
Year/Years at issue: _________________________
Tax/Value at issue:__________________________
Property at issue:
Description:____________________________________________________________________
CTA-PV (Rev. 7/14)

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