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Complete Hither Section I of Section 11
RESOLUTION OF COUNTY COMMISSIONERS
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SLICji0 It 1: In aecordance with 39- 1- 113(1.5) C.R.S., th e n
courlissioIlers of —� ._ -- /I1,/_ __ -- ••_ -- - Y
authorize the assessor to review petitions fi►r abatement or refund and to svltle t►y written nnaual agreement any suet►
petition for abatement or refund in all an►owlt ol• one thousand dollars of less per tract, p:ueel, or tut of I :u1J or per
schedule of personal property.
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County Commission Resolution N
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The Assessor and pelilio rel mutually agree to an
assessed value of $
I • ) 19 1 and an obeli nlenUrelulld (4 $ a I h •,3
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$__A 01j!.T7 total tax tar 11f. yeully I __ -
PLEASE NO'_llT_: 'llL TOTAL. TAX AMOUNT DOES. NO'(' INCI-UDli ACCRUED INTHRIiST, PENALTIES,
AN FE" II' 1 1 1 LICABLE, PI_IiASl- CONTACT DOES. TRI IRER FOR FULL PAYMENT
INF K I
[,ill'" er sip.1„re
11' SeClillll 1 is not con►plete and /or if petition is 1'or n►ore than $1,()()(), Seclil)n 11 mist be completed.
Section 11: Assessols's recmnnlendation:
❑ approved - No protest filed in 19 or 19
❑ approved in pall $ -. -_- _ _. _.. _ ❑ denied 161 the following reason(s):
Note: if., protest was filed please allach copy of Nc)D.
-__._..__.
--- — Assessor
- - -- - -- - -- - -- -_...- Dep. Assessor
WHEREAS. The Coun n
ly Counissioners of _ - - -- — - -- -- - - - - --'
County,
Stale of Colorado, at a duly and lawfully called regular meeting held on the — day
of A.D. Ig_ , at which meeting there were present the filllowing
members:
notice of such meeting and an opportunity to he present having been given to the taxpayer and the
__ -- and taxpayer
Assessor of said County and said Assessor ._— -- -- (name) —_ being present; and
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WHEREAS, 'file said County Commissioners have carefully considered file within application, and
are fully advised in relation (hereto,
with the recommendation of
NOW BE IT RESOLVED,
That the I;l► :Irld -- (concurs nr dons not _oonCc —
-- -.._., and an ahalenl Oro aiiowu
cot refund
tile assessor and file pelltioll Il ..-- -- tdl - w - - d) • --
l' - -_._ ____ -_- d or not bou
(approved or dunuld)
on an assessed valuation of $._. _ _.. _ li►r �+_...._._ _ _ total tax till the year(s) II)_..._..._.
r
diainnan of Board o Counly COlnn ssioners
X E )F COLORADO,
• ss.
�'"• °f`:: Pte-_ ('aunty Clerk and Ex ofliciu Clerk of 'lie
Board of County Cununissionc,s in and fin tl►e County uf--_._-- _- _--Pt_l -`fit !'�._..---- .- .------- - - - - --
State of Colorado, do hereby cerlify that the above and foregoing under is It copied I'rum the records
of the Proceedings of the Board of County Commissioners for said
County, now in 1115' office.
IN WITNI :SS WHEREOF, A have hereunto set lily hand and affixed the seal of said Counly,
/ flit of - ...
ut this A. 19'. n
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Deputy -
ACTION OF THE PIto T AX ADMINISTRATOR
Denver,
Colorado,
'file action of
the Board of County
Couuuissionei
relative to (lie within petition, is hereby
denied tin• the following reasons)
❑ approved;[] approved in part $.- _....._._.-
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FORM 920 (66.93) PETITION Fon ABATEMENT on REFUND OF TAXES
Must be tiled In duplicate and all questions must be answered.
Petitioners: Com Isle this side only.
Crrlctrado.
1b The flonorable Itoard of Commissioners of __ i k��^ -- __ - - -- County
Gentlemen:
The petition of
whose mailing address is:
�.�_.� ✓F -.. �'� — - __._... -. _....L1r
S('HEMLE NUNIHER 114"ISC'RIP1110N OF 1'Rl)1'F,RI'V AS LISTED ON TA ROLL
001 - o I y a)n IQLJ (ai #- (
I I - qff .00(
respectfully regrtcsts that the taxes asscssc(f against tile. above property Io,. the ) A.D.
19.4 I�)..__. _. are erroneous, illegal, or (file to error in valuation lirr rile fitllowing rrasuns:
[�escrihc sl�crilically the rircumstanres surrounding tite incorrect value or lax, ineiuding mi-tier's
estimate of valaae. (Attach additional slleets if necessary)
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0 4aC aF 4�I
f 400 ( DO . 0
11
��- fq d lV 1ft6'k'
19 19
Dn
value 'Ialc � :due '11ix
Orig. #4 3 y g n •o u
Ah:rlc. .__= /►t�'�____.------ ._a_i�� 316_ - ---
11al. / 3x-60, / `l 4
Therefore the petitioner requests that the taxes may be abated or refunded in the sum of 36
I declare, under penalty of perjury in the second degree that this petition, together with any accompanying
exhibits or statements, ha been examined by me and to the best of my knowledge, information and belief
is true, co rect t d • mr etc.
( --� Address
B �• �' t �J laaytinte phone number
y Agent
Every petition for abatement or refund filed pursuant to section 39 -10 -114 shall be acted upon pursuant
to the provisions of this section by the board of county commissioners or the assessor, as appropriate, within
six months of the date of filing such petition. 39- 1- 113(1.7), C.R.S.
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