Form Aa-1 - Added/omitted Petition Of Appeal
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3Form AA-1 (3-13)
ADDED/OMITTED PETITION OF APPEAL
Appeal Number
________________________ COUNTY BOARD OF TAXATION
Filed
Tax Year ______
Property Class
Check/Cash
NAME OF PETITIONER
Checked
Last Name, First Name
MAILING ADDRESS ___________________________________________ Daytime Telephone No. : (
)
____________________________________________________________ E-mail Address ___________________________________
BLOCK
LOT
QUALIFIER
Lot Size _____________________________
MUNICIPALITY
Property Street Address / Location
Name, address and telephone number of person or attorney to be notified of hearing date 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 ADDED/OMITTED
NO. of MONTHS
PRORATED VALUE
ASSESSMENT
ASSESSED
Land
$
_______________
$
Bldg/Improvement
$
_______________
$
Abatement
$
_______________
$
(If any)
Total
$
_______________
$
REQUESTED VALUE OF ADDED/OMITTED ASSESSMENT Petition states that the said assessment should be reduced to:
Land
$
_______________
$
Bldg/Improvement
$
_______________
$
Abatement
$
_______________
$
(If any)
Total
$
$
_______________
COMPLETION DATE
TYPE OF IMPROVEMENT
_________________________________
REASON FOR APPEAL: ___________________________________________________________
__________________
SECTION II
COMPARABLE SALES (See Instruction #8b)
Block/Lot/Qualifier
Property Street Address / Location
Sale Price
Sale/Deed Date
1.
$
2.
$
3.
$
4.
$
5.
$
=================================================================================================================================================================
WHEREFORE, Petitioner seeks judgment reducing/increasing (circle one) the said added, omitted added, or omitted
assessment(s) to the correct assessable value.
Petitioner certifies that a copy of this appeal (and attachments, if any) has been
served upon the Assessor and Clerk of the municipality where this property is located. Petitioner certifies that the foregoing
statement is true and is aware that if the foregoing statement is willfully false, he/she is subject to punishment.
______________
_______________________________________________
Date
Original Signature of Petitioner or Attorney for Petitioner
This form is prescribed by the Director, Division of Taxation, as required by law, and may not be altered without the approval of the Director.
Reproduction of form is permitted provided it is the same content and format.
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