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NOTICE OF REVIEW OF CURRENT YEAR'S ASSESSMENT
State Form 21519 (R4 / 1-09) Prescribed by the Department of Local Government Finance

(For Personal Property by the Assessor or County Property Tax Assessment Board of Appeals)

FORM 111 / PP
ASSESSMENT DATE March 1, 20 _______

NOTE: To the Assessor or County Property Tax Assessment Board of Appeals: Date of hearing must be at least ten (10) days after the giving of this notice.
Name of taxpayer Address (number and street, city, state, and ZIP code) Date (month,day, year) Time

YOU ARE HEREBY NOTIFIED THAT ON
Location of hearing

AM
Room

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The __________________________________ County Property Tax Assessment Board of Appeals or ____________________ Assessor pursuant to its authority under I.C. 6-1.1-13 or I.C. 6-1.1-3-14 and 15 shall review the assessment as of March 1, 20 __________ of the following property: Description Farmer's Personal Property (Form 102) Business Personal Property (Form 103) LOCATION OF PROPERTY
County Address (number, street and city of property) In considering the assessment, the Assessor or County Property Tax Assessment Board of Appeals intends to review the assessment for the following reasons: Township Taxing district

Furnished insufficient information on Form 103, or filed an incomplete assessment return. To review an exemption or adjustment claimed on the assessment return. To verify basic compliance with 50 IAC 4.2. Return as filed appears estimated. Failure to file required assessment return. To determine if lease or other not-owned property has been correctly reported. Other _________________________________________________________ Have available at said hearing the following books, records and evidence.

Federal Tax Return for the period ______________________________________ Financial statements for ______________________________________________ Records of leased or other not-owned property

General Ledger Depreciation Records

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 Assessor or 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 Assessor or County Property Tax Assessment Board of Appeals.
Date (day, month, year) Name (please print) Address (number and street, city, state, and ZIP code) Signature Date (month, day, year) Title Telephone number ( )