Joint Report By Taxpayer Assessor To The County Board Of Appeals (Form 134) {53626}

INSTRUCTIONS: 1. This form must be completed and signed by both the taxpayer and the assessing official. 2. The PTABOA maintains the original report with copies provided to the County Auditor, Assessor, and taxpayer. FOR OFFICE USE ONLY If both parties disagree on all of the issues, the taxpayer and the assessor should list the issues in their comments section. (number and street, city, state and ZIP code)if different from taxpayer month, day, yearmonth, day, year (number and street, city, state and ZIP code) (number and street, city, state and ZIP code) check if applicable check issue(s) assigned by local officials American LegalNet, Inc. www.FormsWorkFlow.com month, day, year month, day, year American LegalNet, Inc. www.FormsWorkFlow.com