FORM 131
PETITION TO THE INDIANA BOARD OF TAX
REVIEW FOR REVIEW OF ASSESSMENT
THIS PETITION MUST BE FILED WITH THE
COUNTY ASSESSOR
State Form 42936 (R3 / 7-03)
Prescribed by the Indiana Board of Tax Review
PETITION NUMBER
1
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READ IMPORTANT FILING INFORMATION BEFORE COMPLETING THIS FORM
FILING INFORMATION
AN ORIGINAL AND ONE COPY OF THIS PETITION MUST BE FILED WITH THE COUNTY ASSESSOR
WHO MAY FILE THIS FORM: This form may be used by taxpayers, Township Assessors, and County Assessors to appeal assessments of real and
personal property. The County Assessor must serve the taxpayer with a copy of this form if it is filed by the Township Assessor. The County Assessor
must serve the taxpayer and township assessor with a copy of this form if it is filed by the County Assessor. Ind. Code § 6-1.1-15-3(f).
FILING DEADLINE: The Indiana Board of Tax Review will review the action of the County Property Tax Assessment Board of Appeals if this petition is
filed with the County Assessor within 30 days after the Notification of Final Assessment Determination is given to the taxpayer. Ind. Code § 6-1.1-15-3.
MULTIPLE PARCELS OR TYPES OF PROPERTY: Petitioners wishing to appeal more than one parcel must file a separate petition form for each
parcel. Petitioners wishing to appeal both personal and real property assessments for the same parcel must complete a separate petition form for each
type of property. Please attach a list of related parcels currently under appeal.
ATTACHMENTS TO THIS PETITION: A copy of the underlying Form 130 petition, and a copy of the Notification of Final Assessment Determination
(Form 115) must be attached to this petition.
GENERAL INSTRUCTIONS
1. Please print or type.
2. The petitioner must complete Section I, Section II, Section III, and Section IV of this petition.
3. The petition must be signed by the petitioner or an authorized representative. A representative must attach a notarized power of attorney unless the
representative is an attorney licensed to practice law in Indiana, or a duly authorized employee or corporate officer of the taxpayer.
Yes
No
Is a power of attorney attached?
4. Certified Tax Representatives must attach a Tax Representative Disclosure Statement. 52 IAC 1-2-2.
5. Notify the County Assessor and the Indiana Board of Tax Review of any change in your mailing address or telephone number subsequent to the filing of
this petition.
FAILURE TO FOLLOW INSTRUCTIONS: If the petitioner does not comply with the instructions for completing this petition, the Indiana Board of
Tax Review will return the form to the petitioner and will describe the defect to the petitioner. The petitioner will then have 30 days from the date of notice of
defect to correctly complete the form and resubmit it to the Indiana Board of Tax Review. If the resubmitted form does not comply with the instructions
for completing the form, the Indiana Board of Tax Review will deny the petition. Please make use of the Checklist provided on page 4 before submitting petition.
As a result of filing this petition, the assessment may increase, may decrease, or may remain the same.
Check the type of property under appeal (check only one ):
Real
Personal
Is this property currently under appeal for another tax year?
Yes
No
If yes, indicate year(s) and type of appeal(s): _____________________________________________________________________
SECTION I: PROPERTY AND PETITIONER INFORMATION
Parcel or Key number (for real property)
County
Township
Address of property
City
ZIP Code
Legal description provided on Form 11 or Property Record Card (for real property) , or business name (for personal property) Assessment year under appeal
MARCH 1, ______________
Name of property owner
Area code and telephone number of property owner
Address of property owner
City
State
ZIP Code
Name of authorized representative (if different from taxpayer)
Area code and telephone number of authorized representative
Address of authorized representative
City
State
ZIP Code
Form 131, page 1