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Annual Tax Assessment Appeal - Pennsylvania

Annual Tax Assessment Appeal Form. This is a Pennsylvania form and can be used in Tax Assessment Westmoreland Local County .
 Fillable pdf Last Modified 8/13/2012
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BOARD OF ASSESSMENT APPEALS WESTMORELAND COUNTY 40 NORTH PENNSYLVANIA AVE, SUITE 440 GREENSBURG, PA 15601 (724) 830-3408 FAX: (724) 830-3852 ANNUAL TAX ASSESSMENT APPEAL APPLICATION ( A completed and signed Appeal Form must be returned to our office on or before September First in order to be valid. Faxed or emailed copies are not accepted.) DATE: I (we) hereby appeal from the assessed valuation made upon my (our) property situated in The property is known as (please give proper street address) (Twp. / Borough / City). The property is located (please give directions from Court House) TAX MAP NUMBER: - - - - - - (Number is noted on your property tax bill or call 724-830-3409 Tax Assessment Office for assistance.) A separate completed and signed form is required for each Tax Map Number you are appealing. GO TO PAGE TWO **DO NOT WRITE BELOW THIS LINE** TED: _________________ RECEIVED: _______________________ HEARING DATE: _________________________________________ TIME: __________________ (a.m./p.m.) POSTPONED: _______ WITHDRAWN: ______ ABANDONED: ________ HEARING HELD: ________ ADMINISTRATIVE REVIEW: ________ Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com PLEASE ANSWER ALL APPLICABLE QUESTIONS (Please Read Instructions BEFORE Completing) (Print or type) PROPERTY TYPE: Residential Commercial Industrial Vacant Land Farm Other (IF PROPERTY IS INCOME PRODUCING, PLEASE ATTACH AN INCOME & EXPENSE STATEMENT) BRIEF DESCRIPTION OF THE PROPERTY: _____________________________________________________________________ ____________________________________________________________________________________________________________ DATE PURCHASED: _____________ How did you acquire this property?_______________________________________________ TOTAL PRICE PAID FOR PROPERTY $_____________ COMMENTS: _______________________________________________ (Land, Buildings/Improvements) ____________________________________________________________________________________________________________ IF NEW CONSTRUCTION, DATE COMPLETED: ______________ COMMENTS: ______________________________________ ____________________________________________________________________________________________________________ AMOUNT THE ENTIRE PROPERTY IS INSURED FOR $ __________________ WHY ARE YOU APPEALING THIS ASSESSMENT? IF YOU HAVE A CURRENT APPRAISAL OF THE PROPERTY, PLEASE INCLUDE A COPY. IF YOU ARE APPEALING THE VALUE OF A MOBILE HOME, PLEASE INCLUDE A COPY OF THE SALES RECEIPT AND TITLE, IF AVAILABLE. YOU MUST INCLUDE THE TAX MAP NUMBER OF ALL COMPARABLE PROPERTIES THAT YOU SUPPLY. ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ IN YOUR OPINION, WHAT IS THE CURRENT FAIR MARKET VALUE OF THE PROPERTY YOU ARE APPEALING? $________________ ADDITIONAL COMMENTS OR EXTENUATING CIRCUMSTANCES: _______________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ NAME: ________________________________________________ ADDRESS: _________________________________________ _________________________________________ TELEPHONE: HOME _______________ WORK _______________ ALTERNATE _______________ I have examined the information provided herewith and, to the best of my knowledge and belief, it is true, correct and complete. Aggrieved Party Signature _____________________________________ ______________________________________________ (Signature) (Name Printed) Date ___________ Corporate Title (If Applicable) ___________________________________________ **** APPEAL NOT VALID UNLESS SIGNED **** Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com
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