This form consists of several pages; please complete all entries

Owner:Click here to enter text.

Property Address:Click here to enter text.

Map/Parcel Number:Click here to enter text.

REASON FOR APPEAL

☐Assessed more than market value.☐Inequitably assessed regarding comparable properties.

☐Incorrect property characteristic data.

I request the assessment on this property be compared to that of the following properties:

Address / Owner / Sale Date / Sale Price / Description
Click here to enter text. / Click here to enter text. / Click here to enter a date. / Click here to enter text. / Click here to enter text. /
Click here to enter text. / Click here to enter text. / Click here to enter a date. / Click here to enter text. / Click here to enter text. /
Click here to enter text. / Click here to enter text. / Click here to enter a date. / Click here to enter text. / Click here to enter text. /
Click here to enter text. / Click here to enter text. / Click here to enter a date. / Click here to enter text. / Click here to enter text. /

An adjustment of this assessment should be made because:

In your opinion, what is the current market value of this property?

Land: Click here to enter text.Structures: Click here to enter text.Total: Click here to enter text.

Signature of Owner:
Printed Signature of Owner: / Click here to enter text. /
Printed Mailing Address: / Click here to enter text. /

Telephone:Home Click here to enter text.Work Click here to enter text.Cell Click here to enter text.

You will be provided with written notification of the results of this review. The property owner has the right to appeal the decision of the Board of Assessors to the Board of Equalization. The B.O.E. is appointed by the Circuit Court to hear assessment appeals. If the property owner wishes to appeal to the B.O.E. after the decision of this office, then a separate application must be filed with that office.

Please provide the following information to verify the accuracy of data regarding your property record:

Year Built: Click here to enter text.Living Area Foundation: ☐Slab ☐Crawl ☐Pilings

Please indicate the percent on each floor:

Exterior Finish / 1st / 2nd / 3rd / Basement
Brick or Stone / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Vinyl / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Wood / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Cement Fiber Board
(Hardy Plank) / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
EFIS (Dryvit) / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Block / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Asbestos Shingles / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Other Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Total / 100% / 100% / 100% / 100%

Please indicate the Number on each floor:

Rooms / 1st / 2nd / 3rd / Basement
Kitchen / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Living Room / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Dining Room / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Family Room/Den / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Great Room / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
*Bedrooms / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
*Other Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
*Room Over Garage / ☐ Finished with closet; count as Bedroom above
☐ Finished without closet; count as Other above
☐ Unfinished
Basement: Click here to enter text. % Finished
Click here to enter text. % Unfinished

Please indicate the percent of each type:

Interior Flooring / Percent
Carpet / Click here to enter text.
Vinyl / Click here to enter text.
Hardwood / Click here to enter text.
Tile / Click here to enter text.
Marble / Click here to enter text.
Slate / Click here to enter text.
*Other Click here to enter text. / Click here to enter text.
100%

Please indicate the Number on each floor:

Baths & Special Plumbing Fixtures / 1st Floor / 2nd Floor / 3rd Floor / Basement
2 Plumbing Fixture Bath / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
3 Plumbing Fixture Bath / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
4 Plumbing Fixture Bath / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
5 Plumbing Fixture Bath / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Special Plumbing Fixtures / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Extras
Number of Fireplaces: / Masonry Click here to enter text. / Steel Prefab Click here to enter text.
Central Air Conditioning / ☐ / Built in Hot Tub / ☐ /
Built in Sauna / ☐ / In-ground Pool / ☐ /
Detached Garage / ☐ / Shed (over 150 sq. feet) / ☐ /
Dumb Waiter / ☐ / Elevator / ☐ /
Security System / ☐ / Central Vacuum System / ☐ /
Generator / ☐ / Other: Click here to enter text. / ☐ /

Remodeling

Year: Click here to enter text. / Cost: $Click here to enter text.
Description: Click here to enter text.
Year: Click here to enter text. / Cost: $Click here to enter text.
Description: Click here to enter text.

Additions

Year: Click here to enter text. / Cost: $Click here to enter text.
Year: Click here to enter text. / Cost: $Click here to enter text.