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Com Ict�Gi�her Section I or Seclion IS ; �i
RESOLU7'ISN O�COUN'CY COhiMl5SIONGRS ,� �;�
.�Section l:in accardance with 39-(-113(1.5)C.R.S.,ihe cammiFSiuner�of �` � Caunty �`�r'�-5•� 'Sj
aulhoriu Ihe assessnr�ci review petitinns Ii�r nhnlumenl nr rcfiuid and�o sct!e y wt�tlen mt�fu+� agreement wny such ^;=.��`�'�
pe�ition fix abelement or rofunJ in nn mm�uN of one Ihousnn��ollnn ur I�sx pur unct,pnrce�,ar IcN ul'I�tn�nr par j• ''
schedule af per:scmnl properly. ' '
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C<n�Ny Commissinn Resnluiivn N �7�'��`�-'/3f�'/U��L/V(�AI� i;,•..,'b�
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'i Jr The Assessc�r enJ pelilioner mntunlly ogn;e tn on as�essed vulue cil' S_�_ tiir �'` �t r�
f v tolal lax for the year(s) 19,�`K and�m nhalemnnt/refunJ of S f.? 7y.e2G � c ,.
PLEASE NOT : THE TOTAL TAX AMOUNT DOES N )NCLUD6 ACCRUED IN'CGRES'C.P[NAL'i'IES, I,'{'� ' . s
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A D ES I APPLfCABLE, PLEASE CON'PACT YOU 'PRGASURER rOR�ULI.PAYMEN'f r
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j If S��ction 1 is nol complele s�ndhu if pclilinn ic or�uore Ih: �SI.000.S�Ylion 11�nucl be cowpleled. t. ,
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❑approerJ-hn prolrst 151eJ in 19_nr f9 • !:.�P
❑ approved ia part S ❑ denied ferc lhn following reasun(s): „
Nole:(f p protesl wxs filed pleaxe attacfi ce�y of NOD.
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- By. ��
A�seswr J, Dep.Nssessw ,
W HEREAS,Thc Count Conmiissioncrs of � County, -`
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State olorado,at a duly and lawfully ca11eJ regular meeting heW on the day r:�r,g4',
of , A.D. 1 w i m ng t were p nt he I ing ,��
members: '
notice oC such mecting and an oppcirtunity ta be present having been g+ven lo Ihe luxpaycr and tfis
' Assessor of said Counly aext said Assessor nnd laxpayer
�"°'"•� h 'a�present; and ��
t�.mn l.+�.�
WHER6AS,The said Counly Commissioners have carefully considercd Ihe wilhin application,and " i ; '
,?.� � are fully adviscd in rclation thereto, �
A
�� NOW BE IT RESOLYED, That Ihe Board _!�� wilh the recommendation of :,
. . gancwa«oa�m�mnc�q ;,��� .
the assessor and the petition be . anJ an abalcment refunJ :
a„wea a.mee� te..ro�.a p�a .na+sa� •(
_ on an assessed v:�luation of$ _�1Q� liir $�.���Se_ lot:d 1:�x (or Ihc ycar(s) 19�` _. '.
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♦'`�y�i CQU`y .
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- ww a� �--'ChAirm�e ol Counry Comml al�� �
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..�. . T CO[ANAUO,
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� �of ��
� �, , Counly e�k Ex-offlcio Clerk of U�e �i� �?�i
�; l Board of Counry C miissioners in for tfie Cou o . (
State of Color�do, o hcreby cenii'y �U�t t1�e above ancl forcgoing orcler is t y i� from Ihe records �
Iof the proceedings o(the Board of County Commissioncrs for said �� �� ' �'`
Counry. now in my office. � � `
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� I�11'i'NESS WHER O� have I�ercu set m and and affixed Ih�al of said�County, � �
{ ai �r����, this �day of , A.D. 14 . 4j
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. .. By DepWy ..
I �iAtifcw •
AC'f10N OF 7'1IE PROPERTY 7i1X AI)MINISCRATOR ,
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Denver,Coforado, 19_.
The action af tl�e Bonrd of County Commissioners, retative ro the wiB�in petition, is hereby ' ,
❑ approved;C) approved in paN$ ❑ denied fnr the following rcason(s)
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_ FOAM 920(6&93� PETITION FOR A9A7EMENT 00 REFUNO OF TA%ES �
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:: '� Musl bs flled In dupticate and aii quesflone muet be anawe►ed. f
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Petitioners: ompletc lhis sidc only. �',�' "'
G �� . Colorodo, , 19 ��; �
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� 7b The Ilonnrnble livard of Connnissinners of 1`//� i C�_ Counly � . `'�
,°' Genllemen: I,c� ..�.
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The petition of �' t;,;:.: j
� whose mpiling address is: �
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SCHEUULE NUd1UER U4SCRt1'fION OF 1'NOPEIrI'Y AS l.ISI'EI)ON'1'AX It01.1, w����%`�
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respectfully requesls Ihat the G�acs assesscd ngaiost thc ubove pmperly for thc ycurs A.D. i��
19�. 19_, are crmneous, illegal,or due lo error in wrlunlion firr lhe fi�llowing rcasons: .�
Dcscribe spccifically the circomstances surrowtd'fng_Uu incurrccl value or lax, ixclud(ng owner's �S
esdmnle of value. (Atlach aJditional sheets if necessary) �`
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- Tt�crefi�re the petitiuner requests 1ha1 thc lxxcs muy be aUated ar refunded in Ihe sum oF$15L'Lx°" ,�
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I IItCIAR�under�xnally of perjury in the secrntd degree Ihat Ihis pclition,logclhcr with Any accoropanying, ' ��
exhibils or statcments,has been examineJ by me and to t6e ixst oC my knowledge,information and belicf
is true,wrrecl J complete. �
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` By ��� (��Duytime phone number o•�*/6y ( ; •
i �1 Every pelilion fur pbatcment or refimd�Ied ursnmd to scctinn 39-10-114 shall be ncted upon pursuan!
to the pmvisim�s oC U�is seclion by qu board of cou�qy co�nmissioncrs or the ossessor,as apprapriale,witl�in
� six monlhs of the dme of filing such petition. 39-1-113(1.7).C.R.S. •
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