CASE # ______
APPLICATION FOR REVIEW OF RESIDENTIAL ASSESSMENT
Mail completed applications to:
BOARD OF EQUALIZATION
9540 Center Street, Ste. 303C
MANASSAS, VA 20110
THE DEADLINE FOR FILING 2017 ASSESSMENT APPEALS IS July 3, 2017
NATURE OF GRIEVANCE: ______Assessment is in excess of Fair Market Value
______Assessment is inequitable with comparable properties
______Assessment made on incorrect data
______Assessment not determined in accordance with generally accepted real estate appraisals
______Other reasons (Please explain below)
OWNER’S NAME
PROPERTY ADDRESS
MAILING ADDRESS
(of person to be contacted concerning appeal)
VALUE YOU BELIEVE THE PARCEL WAS WORTH ON JANUARY 1, 2017
Is the property listed for sale? ______If so, at what amount? ______
Was the property listed for sale since 1/1/16? ______If so, at what amount? ______
Is this property insured? ______If so, at what amount? ______
What particular points do you believe the Board of Equalization should consider that might lead to a change in the assessment? Use additional page(s) if necessary.
Please fill in account number and Grid Parcel Identification number (GPIN):
RPC/Account #: __ GPIN/Parcel ID: ______
2017 ASSESSMENT: IF LOWERED BY ASSESSMENTS: 2016 ASSESSMENT:
LAND (MKT) LAND (MKT) LAND (MKT)
LAND (USE) LAND (USE) LAND (USE)
IMP IMP IMP
TOTAL TOTAL TOTAL
Office Use Only:
If there are comparable properties that the applicant believes should be considered, please provide the following information:
A. Property Address
GPIN Assessment
State differences and/or similarities compared to your property:
B. Property Address
GPIN Assessment
State differences and/or similarities compared to your property:
C. Property Address
GPIN Assessment
State differences and/or similarities compared to your property:
Signature of Applicant Print Name
Telephone No. : Home
Work ______
Cell ______
E-mail address ______
Do you want to be notified of the date and time of the hearing, even though it is not necessary for you to be present for the hearing to occur?
( ) YES ( ) NO