ADDED/OMITTED
PETITION OF APPEAL
Appeal Number
________________COUNTY BOARD OF TAXATION
Property Class
___________________
Filed___________________________
Checked________________________
Fee Paid________________________
PETITIONER
_____________________________________________________________
Notified________________________
(PLEASE Type or Print)
Heard__________________________
MAILING ADDRESS
_______________________________________________________
Daytime Telephone #
_________________________________________________________________________
_______________________________
BLOCK
LOT
QUAL
Lot Size
___________________
_______________________
._______________
_______________________
Municipality
Property Location
_____________________________________________
____________________________________
Name, Telephone No. and Address of person or Attorney to be notified of hearing and judgment.
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
____
SECTION I ADDED ASSESSMENT, OMITTED ADDED ASSESSMENT OR OMITTED ASSESSMENT ONLY
(MUST BE FILED ON OR BEFORE DECEMBER 1)
Added Assessment ____________
Omitted Assessment __________ Omitted Added Assessment __________
Year
Year
Year
CURRENT VALUE OF ADDED/OMITTED
NO. OF MONTHS
PRORATED VALUE
ASSESSMENT ONLY
ASSESSED
Land
$________________________
_________________
$______________________
Improvement
$________________________
_________________
$______________________
Abatement
$________________________
_________________
$______________________
Total
$________________________
_________________
$______________________
REQUESTED VALUE OF ADDED/OMITTEDASSESSMENT
Petitioner states that the said assessment should be reduced to:
Land
$________________________
_________________
$______________________
Improvement
$________________________
_________________
$______________________
Abatement
$________________________
_________________
$______________________
Total
$________________________
_________________
$______________________
COMPLETION DATE____________________
TYPE OF IMPROVEMENT___________________________________
REASON FOR APPEAL
______________________________________________________________________________________
SECTION II COMPARABLE SALES (See Instruction 8B)
Block/Lot/Qual
Location
Sale Price
Sale/Deed Date
1. ____________________
____________________
____________________
____________________
2. ____________________
____________________
____________________
____________________
3. ____________________
____________________
____________________
____________________
4. ____________________
____________________
____________________
____________________
5. ____________________
____________________
____________________
____________________
WHEREFORE, Petitioner demands judgment reducing/increasing (cross out one) the said added, omitted added, or omitted
assessment(s) to the correct assessable value of the said property.
Dated:_________________________
________________________________________
Petitioner or Attorney for Petitioner
CERTIFICATION OF SERVICE
On ________________, 20___, I, the undersigned, served upon the Assessor and the Clerk of
_______________(Municipality) or upon the taxpayer, personally or by regular mail or certified mail, a copy of the
within appeal.
I certify that the foregoing statement made by me is true. I am aware that if the foregoing statement made by me is
willfully false, I am subject to punishment.
Date:____________________________
Signed:________________________________________________
This form has been prescribed by the New Jersey Division of Taxation. No other form will be
accepted. Reproduction of this form is permitted provided it is of the same size and texture.