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Complete Either Section I or Section II
RESOLUTION OF COUNTY COMMISSIONERS
P/fAirin. &Kok
Section is In accordance with 39-1-113(1.5) C.R.S., the commissioners of County
authorize the assessor to review petitions for abatement or refund and to settle by written mutual agreement any such
petition for abatement or refund in an amount of one thousand dollars or less per tract, parcel, or lot of land or per
schedule of personal property.
County Commission Resolution #
The Assessor and petitioner mutually agree to an assessed value of $ for
$ total tax for the year(s) 19_ and an abatement/refund of $
PLEASE NOTE: THE TOTAL TAX AMOUNT DOES NOT INCLUDE ACCRUED INTEREST, PENALTIES,
AND FEES IF APPLICABLE, PLEASE CONTACT YOUR COUNTY TREASURER FOR FULL PAYMENT
INFORMATION.
Petitinter a SiOvtwe Dam Meeuo,'s Sigtutute Dim
If Section I is not complete and/or if petition is for more than $1,000, Section II must be completed.
Section IL: Assessors's recommendation:
EMpproved - No protest filed in 19 or 19 ;
❑ approved in part $ ❑ denied for the following reason(s):
Note: If a protest was filed please attach copy of NOD.
ASSESSOR'S RECOMMENDATION
SEE APPENDIX II
By:
Assessor Dep. Assessor
WHERERS;..The County Commissioners of
Assessor of said County and
County,
State of C• orado, . a duly and lawfully called regular meeting held on the /1 ` - day
of A D. 19 of whi h mee 'n• there were present the followipg
members/ w 1 .� z ..1, a ,.. :/r
�.r
notice of Such meeting and oppo unity to be prese having been t n to the taxpayer and the
and taxpayer
(name)
being —present; and
s•'d Assessor
erne)
WHEREAS, The said County Commissioners have carefully considered the within application, and
are fully advised in relation thereto,
NOW BE IT RESOLVED, That the Board ronritrs with the recommendation of
(concurs or does not concur)
the assessor and the petition be approved , and an abatement refund of $611 .83 hp allowed
(approved or denied) (be allowed or not be allowed)
on an assessed valuation of $�,.2�p for $ 4, 00.75 total tax for the year(s) 19 98
f+l\ n 1
airman of Boar
STATE OF COLORADO,
i ss.
County of f /' �/�'✓ )
I, = 1?/ j I __ , County, Clerk .and Ex-officio Clerk of the
Board of -County ommissioners in and for the County of /i77<!if� ,
State of Colorado. do hereby certify that the above and foregoing order is tgly copied from the records
of the proceedings of the Board of County Commissioners for said ;.ri `:/7J
County. now in my office.
IN -'WITNESS WHEREOF, 1 hwe h..w-..and and alri%d(ht. seal uf said hlllty,
at /i ,tii this 7 '/day of ''
, A.D. 19 i
y •mmissioners
FORM 920 (66-93)
' i . . PETITION FOR ABATEMENT OR REFUND OF TAXES 0 1 G I NA L
Must be tiled in duplicate and all questions must be answere .w_ _-
Petitioners: Com�lete this ide only.
Ltso y\ l ,tt /D r&d b , Colorado, a-l1�'e,� 2
11 ty or Town
To The Honorable Board of Commissioners of
Gentlemen:
__ County
The petition of i �� t'n �'� ►�
whose mailing address is•
cz�n
City r Town
SCHEDULE NUMBER
RoN (r 1
•f4
J
�r-(,
C6 Up,
State
Zip Code
DESCRIPTION OF PROPERTY AS LISTED ON TAX ROLL
(3)n o 2 (C)e'cra r1
un 16 2 j
ii
respectfully requests that the taxes assessed against the above property for the years A.D.
19 9E? , 199 7, are erroneous, illegal, or due to error in valuation for the following reasons:
Describe specifically the circumstances surrounding the incorrect value or tax, including owner's
estimate of value. (Attach additional sheets if necessary)
cjofl Tie)
22 jYo
n Ca y
iv- .v Ur & o _ c^L Lt. c=fact 1 i.'�fi (i S%,t i•t 'rt
CORRECTIONS MADE BY
SEE APPENDIX I
i1
�`
/1 =i at -
L.(.,c, 4,-e64 pr cx:e_ .
THE ASSESSOR TO THE PETITIONER'S ORIGIN PETITION
19A 19
Value Tax Value Tax
Orig. 2-55, 6
Abate. 30) 6 CO
Bal. C 006i 41 "Y'X?.;tj
Therefore the petition!• requests that the taxeg may be abated or refunded in the 'urtlrxt'
Cod
6c
ifE'-.,mot 6
=7 (u 2 C 0 crr CIL rt;c:1)
I declare, under penalty of perjury in the second degree that this petition, together 'pccaampanying
exhibits or statements, has been examined by me and to the best of my knowledge, to pjmapon and belief
is true, correct and plete.
By
Agent
L�{
'G) , box_ l 146-6
ddress
aytime phone number
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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