Get forms online - tax.utah.gov Before The Utah State Tax Commission Request for Redetermination of County Board of Equalization Decision
Tax assessment year Taxpayer information Owner/Taxpayer name Mailing address
Parcel number Representative, if any I authorize the below-named person to discuss and share information concerning this appeal with the Utah State Tax Commission. Representative name Mailing address
Daytime telephone no. FAX telephone no. Taxpayer's email address Property Information Location or address of property County Property type Residential Daytime telephone no. Representative's email address FAX telephone no.
Commercial
Industrial
Vacant land
Agricultural/Greenbelt
Personal property (specify) ___________________________________________________________________________ Primary issue Assessed value
Assessment equity
Eligibility for exemption
Greenbelt
Other ______________________________
If you are contesting the assessed value of the property, state your estimate of value _________________________________ Additional Information State your objection to the Board of Equalization decision (be prepared to provide supporting evidence at a hearing or mediation conference)
Taxpayer's name (print)
Taxpayer's signature X
Date signed
Submit this form to the County Auditor for completion. This form must be filed with the County Auditor within 30 days after the date of the Board of Equalization Decision. Auditor: Please verify that this matter was heard or considered by the Board of Equalization Original assessed value Original taxes due Value determined by BOE
TC-194 Rev. 4/08
Date of BOE hearing
Attach a copy of the BOE decision to this form