2. Today's Date*
   Today's Date
3. Parcel ID*
   See Valuation Notice
5. First Name*
6. Last Name*
8. Address1*
10. Address2
12. City*
13. State*
14. Zip*
16. Daytime Phone*
17. Home Phone*
18. Email Address*
20. 1. Do you feel the market value above is correct?*
    -- Select One --YesNo

    If Yes, no appeal is necessary - Do not complete this form. If No, complete this form in its entirety.
22. 2. What is your opinion of fair market value as of January 1, 2017?*
24. 3. What is the basis of your opinion? *

    1. Recent Appraisal (attach copy)
    2. Recent Asking Price (attach copy of listing form)
    3. Recent Purchase (attach copy of closing statement)
    4. Recent comparable sales (attach detailed information)

    Check as appropriate.
25. Attach File
    Documents to support the basis of your opinion
27. 4. If property was purchased within the last 3 years, please complete the following:
    (if work was done by a contractor, include a copy of the contract)
29. Date purchased
30. Purchase Price
31. Cost of Improvements
32. Attach File
    Copy of Contract is work was done by a contractor.
34. 5. If this is Residential Property, complete the following:
36. Year Built
37. # Baths
38. # Half Baths
39. Heated Sq Feet
41. Additional Comments
43. 6. If this is Commercial Property, complete the following:
45. Rent per year
46. Expenses per year
47. Term of Lease
48. Utilities included
    Air, Water, Electric, Other
50. ***If this income producing property, included the three most current years income and expense information.***
52. Attachment 1
    Additional supporting documents
53. Attachment 2
    Additional supporting documents
Leave This Blank:


55. 1. Receive an email copy of this form.
56. Email address

    This field is not part of the form submission.

57. Submit Submit and Print

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