Two year petition.
PETITION FOR ABATEMENT OR REFUND OF TAXES
Please submit in duplicate copies and answer all questions.
County Name
Date Received
Assessor’s or Commissioners’ Date Stamp
PETITIONER: Complete Section I on this side only
Section I:
Date: __________________________
Month
Day
Year
Petitioner’s Name:
Petitioner’s mailing address:
City or Town
State
Zip Code
SCHEDULE OR PARCEL NUMBER
PROPERTY ADDRESS OR LEGAL DESCRIPTION OF PROPERTY
__________________________
Petitioner states that the taxes assessed against the above property for property tax year(s) _____,____ are
incorrect for the following reasons: (Briefly describe the circumstances surrounding the incorrect value or tax. (The
petitioner’s estimate of actual value must be included.) Attach additional sheets if necessary.
Petitioner’s estimate of actual value $________________ (_______) and $________________ (________)
Value
Year
Value
Year
Petitioner requests an abatement or refund of the appropriate taxes associated with a reduction in value.
I declare, under penalty of perjury in the second degree, that this petition, together with any accompanying exhibits
or statements, has been examined by me, and to the best of my knowledge, information and belief, is true, correct
and complete.
_________________________________________ Daytime Phone Number (
)
Petitioner
By_______________________________________ Daytime Phone Number (
)
Agent*
*Letter of agency must be attached when petition is submitted.
Every petition for abatement or refund filed pursuant to section 39-10-114, C.R.S., shall be acted upon pursuant to
the provisions of this section by the board of county commissioners or the assessor, as appropriate, within six
months of the date of filing such petition. 39-1-113(1.7), C.R.S.
Section II: Assessor’s Use Only
Tax Year
Tax Year
Assessed Value
Tax
Assessed Value
Tax
Original
____________
________
____________
__________
Corrected
Abate/Refund
____________
________
____________
__________