NOTICE OF APPEAL TO THE BOARD OF TAX APPEALS
DTE FORM 4
FROM A DECISION OF A COUNTY BOARD OF REVISION
(Revised 10/13)
R.C. 5717.01
READ IMPORTANT FILING INFORMATION ON BACK BEFORE COMPLETING THIS FORM
BOR Case No. ____________________
For BTA Use
Appellant, (Please Print)
v.
AUDITOR/FISCAL OFFICER AND THE BOARD OF REVISION OF
____________________________________________ County, Ohio, and
BTA Case No.
______________________________________________________________________________
Appellee(s). (All other parties to the appeal)
Appellant appeals a Board of Revision (BOR) decision mailed on (date) _____________ for tax year __________. (Attach decision copy).
Property Owner’s name __________________________________________________________________________________________
Property Owner’s address
st
nd
rd
1
Parcel
2
Parcel
3
Parcel
Parcel (or registration) No.
Parcel’s Address – Street
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City, State Zip
Parcel’s School District
Appellant’s Opinion of
Parcel’s Market Value
Evidence supporting opinion of market value: ____________________________________________________________________________
(Arm’s-length sale of the subject, a qualifying appraisal, or some other evidence – describe)
Appeal of a BOR decision starts a formal adjudication process often involving lawyers, discovery, motions and expert witness (appraiser) testimony. The
Small Claims Option avoids much of the formality and resolves simple disputes quickly and inexpensively. More information is in the form instructions.
Small Claims Option (Check One): YES
NO
Small claims involve simple disputes that can be resolved quickly and
inexpensively. Most residential property qualifies for the small claims option but taxpayer consent is required because decisions have no
precedential value, they are final for all parties and cannot be appealed. More information is provided in the instruction portion of this
form. By electing to have your appeal resolved as a small claim, you understand and agree to these conditions.
Request Hearing (Check One): YES
NO
All evidence is required to be presented to the BOR, a record of which is
transmitted to the BTA for consideration. BTA hearings are therefore unnecessary unless new evidence has become available since the
BOR proceedings. If a BTA hearing is scheduled, it will be held in the BTA’s offices in Columbus, OH, and your appeal may be dismissed
if you do not attend or if you fail to provide prior notice of your intent not to attend. Hearings for small claims, if requested, will be an
informal, non-record hearing conducted by telephone only.
Contact Information:
_________________________________________________________
________________________________________________________
Appellant or Representative (signature)
Email Address
_________________________________________________________
(________) ______________________________________________
Print Name and Title of Representative
Phone Number
_________________________________________________________
(________) ______________________________________________
Mailing Address
Fax Number (If any)
_________________________________________________________
_________________________________________________________
City
State
Zip
Date