FAIRFAX COUNTY DEPARTMENT OF TAX ADMINISTRATION
12000 Government Center Parkway, Suite 223
Fairfax, Virginia 22035-0030
APPEAL FORM
For Motor Vehicles with High Mileage or in Damaged Condition as of January 1
The Statutes which govern personal property assessments for automobiles require that the value (1) be from a
recognized pricing guide, (2) be applied uniformly, (3) and as of January 1 of the tax year. To meet these
requirements, Fairfax County, along with other Virginia jurisdictions, uses the January edition of the National
Automobile Dealers Association (NADA) Official Used Car Guide. The valuation of automobiles using individual
sales, purchase prices, or trade-in offers, as a basis for assessment, is not permitted. However, under section §58.1-
3503(B) of the Code of Virginia, the condition of property may be taken into account. Recognition of differences
between vehicles is limited to conditional factors, which can be readily identified and the extent of any loss of value
clearly documented. Body damage, rusting and mileage are conditional factors for which adjustments in value are
most frequently made.
Information Required
Vehicle Description: Make
, Model
, Year
Vehicle Identification Number (VIN)
Odometer Reading (no tenths)
Briefly describe the physical condition of the vehicle.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
If your vehicle was in less than average condition as of January 1, (for example, accident damage or rusting)
submit this form along with an itemized estimate by a qualified automobile appraiser/estimator detailing the extent
of damage and the cost to repair/restore the vehicle to average condition. Other acceptable documentation would
be a copy of an insurance company estimate describing the condition and cost to repair the damage. If your appeal
is for a high mileage adjustment, please attach a copy of the latest State Safety Inspection slip, vehicle repair
receipt or a similar document to verify odometer reading.
AFFIDAVIT
I hereby certify that the above facts are true and correct and the condition of this vehicle as evidenced by the
attached estimates existed as of January 1, 20____.
Given under my hand this _____ day of _________________, 20____.
FOR OFFICE USE ONLY
Signature ______________________________________
Property Number
_______________
Name (print)_________________________________
Deductions
_______________
Corrected Value
_______________
Social Security Number _______-________-________
Daytime Telephone Number (
)
-
A
REMINDER
Please note that submitting this form, along with the requested documentation, does
not relieve you of the requirement to pay the tax by the indicated due date.
Rev. 09/00