Free 21522.pdf - Indiana

NOTICE OF HEARING ON PETITION - PERSONAL PROPERTY
(By County Property Tax Assessment Board of Appeals)
State Form 21522 (R3 / 12-01) Prescribed by the Department of Local Government Finance

FORM 114 / PP
ASSESSMENT DATE March 1, _________

NOTE: Notice to taxpayer must be sent at least ten (10) days prior to the hearing date.
Name of taxpayer

Address (number and street, city, state, ZIP code)

You are hereby notified that pursuant to your petition the County Property Tax Assessment Board of Appeals shall hear the matter of your petition for a redetermination of the property described below on (Date): ________________________ day _____________________________ month ______________ year at (Time) _______________ A.M. P.M.

in (Location of hearing) _____________________________________________________________________________________________________ .

LOCATION OF PROPERTY
County Township Taxing district

Address (number, street, city, state, and ZIP code of property)

DESCRIPTION OF PROPERTY Individual Personal Property (Form 101)
Assessed value of record:

Farmer's Personal Property (Form 102)

Business Personal Property (Form 103)

$ Have available at said hearing the following books, records and evidence: Federal Tax Return for the period _______________________ . Depreciation Records General Ledger Financial Statements for _________________________________

Records of leased or other not-owned property

Other __________________________________________________________________________________________________________________

You, or your duly authorized representative, may submit any evidence deemed by you to be pertinent. In the event you fail to appear on the date and at the time stated in this notice, the County Property Tax Assessment Board of Appeals shall determine the assessed value of the property being considered on the basis of the evidence before it. You will receive notice of the action taken by the County Property Tax Assessment Board of Appeals.
DATED: (day, month, year)

Name (print)

Title

Signature

Telephone number ( )

Address (number, street, city, state, ZIP code)

DISTRIBUTION: White - Petitioner; Canary - Township Assessor; Green - File