Form Pa-115a - Objection To Real Property Assessment

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Objection to Real Property Assessment
To file an appeal on your property assessment, you must provide the Board of Review (BOR) clerk written or oral notice of your intent, un-
der state law (sec. 70.47(7)(a), Wis. Stats.). You must also complete this entire form and submit it to your municipal clerk. To review the best
evidence of property value, see the Wisconsin Department Revenue’s Property Assessment Appeal Guide for Wisconsin Real Property Owners.
Complete all sections:
*
Section 1: Property Owner / Agent Information
If agent, submit written
authorization (Form PA-105)
with this form
Property owner name (on changed assessment notice)
Agent name (if applicable)
Owner mailing address
Agent mailing address
City
State
Zip
City
State
Zip
Owner phone
Email
Owner phone
Email
(
)
-
(
)
-
Section 2: Assessment Information and Opinion of Value
Property address
Legal description or parcel no. (on changed assessment notice)
City
State
Zip
Assessment shown on notice – Total
Your opinion of assessed value – Total
If this property contains non-market value class acreage, provide your opinion of the taxable value breakdown:
Acres
$ Per Acre
Full Taxable Value
Statutory Class
Residential total market value
Commercial total market value
@
Agricultural classification:
# of tillable acres
$ acre use value
@
# of pasture acres
$ acre use value
@
# of specialty acres
$ acre use value
@
Undeveloped classification # of acres
$ acre @ 50% of market value
@
Agricultural forest classification # of acres
$ acre @ 50% of market value
@
Forest classification # of acres
$ acre @ market value
Class 7 “Other” total market value
market value
@
Managed forest land acres
$ acre @ 50% of market value
@
Managed forest land acres
$ acre @ market value
Section 3: Reason for Objection and Basis of Estimate
Reason(s) for your objection: (Attach additional sheets if needed)
Basis for your opinion of assessed value: (Attach additional sheets if needed)
Section 4: Other Property Information
A. How was this property acquired:
Purchase
Trade
Gift
Inheritance
(check the box that applies)
-
-
Acquisition price $
Date
(mm-dd-yyyy)
B. Were there any changes made to this property (ex: improvement, remodeling, addition) since acquiring it? . . . . . .
Yes
No
If Yes, describe
Date of
Cost of
-
-
?
Yes
No
changes
changes $
Does this cost include the value of all labor (including your own)
(mm-dd-yyyy)
C. During the last five years, was this property listed/offered for sale? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
-
-
-
-
If Yes, how long was the property listed
to
(provide dates)
(mm-dd-yyyy)
(mm-dd-yyyy)
Asking price $
List all offers received
D. Was this property appraised within the last five years? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
-
-
If Yes, provide:
Date
Value
Purpose of appraisal
(mm-dd-yyyy)
If this property had more than one appraisal, provide the requested information for each appraisal.
Section 5: BOR Hearing Information
A. If you are requesting that a BOR member(s) be removed from your hearing, provide the name(s):
Note: This does not apply in first or second class cities.
B. Provide a reasonable estimate of the amount of time you need at the hearing
minutes.
Property owner or Agent signature
Date
(mm-dd-yyyy)
-
-
PA-115A (R. 9-16)
Wisconsin Department of Revenue

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