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Complete Eitber Section I or Section 1! � '
RE50LUTION OF COUh"fY COMMISSIONER.S
Section 1:Ia accordance with 39-1-113p.5)C.R,S.,the commissionecs af j
County aathodze the assessor to revitw petitions for abatement or refund and to settle by written mutual
agieement a�ry such petition for abatement or refand in an amount of one thousand dollars or less per tract,
parcel,or lot of land or per schedule of personai property. �
' County Commission Resolution A' ��_'.r"""'T_ ; r
a e ssessor and petitioner mutually agree to an assessed vatue of 3 �a7•6� for ;?`
;2 S T toW1 tax far the year(s) 19� and an abatement/refund of $ �/D/.T.7f/ i>
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- � PelpioneYS Sipnelurc � De�e� Ave a Sipnew�e Da�e .
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k �' If Section I is not complete and/or if petition is for more than 51000,Seclion II must be completed.
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x�, � Sectfon II:Assessors's recommendation;
�� ❑ approved;❑ approved in part$ ❑ denied for the following reason(s)
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�`y, WHEREAS,The County Commissio�ers of �4•r� Coanty,
State of Colorado,at a duly and]awfully called regular meeting held on the �.J� day :
_ of IKiNNfIn , A.D. 19.��, at which meeting there were present the fo8owing
members:
notice of such meeting and an opportunity to be present having beeq,givyn�p the taxpayer and the
:– - Assessor of said County and said Assessor r�TSU4 r �/�pA.G. Mn„C fbn.ic: and raxpayer
'" � heinv present; and
i�.m.� --
WHERBAS,The said County Commissioners have carefutly considered the within application,and
� � are fully advised in relation thereto,
,'� NOW BE IT RESOL�/ED, That the Board wi�h the recommend tion of ,�
��a o�..��n
�' the assessor and the petirion be 4 and an abaiement refund
. a: � l a anra� Iw.i�.a w n Mwvw1 .
u on an assessed valuation of$ /� ,y� for $ '_Y% total tax for the year(s) 19�. �
P�.
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� � . 1�ICG. L1�airman o1 BoaM ol Counly CommisHOners - �_"3
"� ` � sra F ioxnno, �. �
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� I, � � '�Q�unty rk and Ex-officio Cierk of the c'�,
� Boarc[of County Commissione in and fo the County of 'T
� S[ate of Colorado,do hereby ce ify that the above and foregoia or�`�1 ied from the records � •
i of the proceedings of the Board of County Commissioners for said { �
� � County, now in my office.
^F S WIiEREOF, I have hereu et rp hand and affixp�eq�d ��he seal of said County,
� at , this�_day of � , A.D. 19_}-,¢_. �
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AC!'ION OF THE PROPERT AX DMINIS RATOR
�,�.i�; Denver, Colc:,�do, 19�•
„ The action of the Board of County Commissioners, relativc to thc within petition, is hereby
"��'� ❑ npproved;❑ approvctl in pa[t$ ❑ denicd for the foAowing rcason(s)
:?�;a � '�"' Seerolercy Propeny Tax AnmiMCketor
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*1,� Y r..z L'+ 11 � 1�, �� � f 'F ���'! � � - r '�: 1 .:� �+'�.ya't.� '�� .
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� � FOAM 920(66-93) PkTIT10N FOR A9l1TEMENT OR REFUND OF TAI(ES
-. "'"' Mud bs fllsd In dupltcete end alt qusstlons must be enswersd.
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Petidoners: C mplete this side only.
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,coio�ao, � , iv�
'Ib The Honorable Board of Commissioners of rr���+� County
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" °'` Gendemen: /"� I���ti �.o�i��..Y� . .
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�' The petition of -'`�-- � — -- ---✓��
rt,. whose mailirt ddress is: C o �� ��� ` 3 3 , [4 54�� S �
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4'-�? SCHEDULE NUMBER DFSCRIPTION OF PROPERTY AS LISfED ON TAX ROLL
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� resp tfully requests that the taxes assessed against the above property for the years A.D.
19�i, 19_, are erroneous,illegal,or due to error in valuation for the foilawing reasons:
;� Describe specifically the circumstances surrounding the incorrect value or tax, including owner's
' � estimate of value.(Attach additional sheets if necessary)
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Value 'I�x Value 'Ihx
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, ';- anac�. /63.yov 40li?Y
: ' BaL �2��600 3/52.88
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iTherofore the pefitioner requests that ihe taxes may be abated or retunded in the sum of S kd��•�Y �. .
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� I declare,under penalty of perjury in the second deg�ee that this petition,together with any accompanying '�'
' S exhibits or statements,has been examined by me and to lhe best of my knowledge,information and belief ; .
� ! � is true,correct and complete. .
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� Gf�f Ca�qo�G �ff9ll
k''�?k BY ro�M � aytime phone numbef `
`�J�� Every petition for abatement or reTund filed pursunnt to section 39-l0-ll4 shall be ncted upon pursuant
to the provisions of this section by the boncd 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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� AMEFICAN NA7IOt4AL EANK �. 7FtU5T C0. tJEkF 'i
'• C/0 5F'EC2AL E�S�ETS �IVISIOh! � :`
'_j 33 NORTH LA SAl_!E 5TREET .
- CHICAf�O, IL 606�s'0 �xr•-
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Sewer C�.���a u.il�! ��,��lj Ah! UNllt 'IBEP 2/ • IPd7EfiEST :td f�ND 70
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2nt r�.00 il.i�'t �.Qn Land Va1ue: �9qf��p ;
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