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(FOR ASSESSORS AND COUNTY COMMISSIONERS USE ONLY)
RESOLUTION OF COUNTY COMMISSIONERS
Resolution No. 61911- �(Irn _
Section 1: 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.
The assessor and petitioner mutually agree to an assessed value and tax abatement/refund of:
Tax Year Tax Year
Value Tax Value
Tax
Original
Corrected
Abate/Refund
PLEASE NOTE: THE TOTAL TAX AMOUNT DOES NOT INCLUDE ACCRUED INTEREST, PENALTIES, AND
FEES ASSOCIATED WITH LATE AND/OR DELINQUENT TAX PAYMENTS, IF APPLICABLE. PLEASE
CONTACT YOUR COUNTY TREASURER FOR FULL PAYMENT INFORMATION.
Petitioner's Signature Date
Assessor's or Deputy Assessor's Signature Date
If Section I is not complete and/or if petition is for more than $1,000, Section II must be completed. Submit an
original petition and a cony to the Division of Property Taxation.
Section II: Assessor's recommendation:
%Approved or ❑ Approved in part$
No protest filed in 7 9 or (If a protest was filed, please attach a copy of NOD.)
❑ Denied for the followin r son(s):
sessor s or ep Assesso s nature
Section III: WHEREAS, The Co ty CommUilssiponers of /. County, State of Colorado, at a duly
and lawfully called regular meeting Id on /�/_" �'J at which meeting there a pr sent the following
�! mo day r
members: Lxc CZ_
with notice of such meeting and 77K(being
resent having been given to the taxpayer and.the Assessor of
said County and Assessor (being present/not present)and
petitioner /Z present/not present), and WHEREAS, The said
Name
County Commissioners have carefully considered the within petition, and are fully advised in relation thereto,
NOW BE IT RESOLVED, That the Board (agrees/does not agree)with the recommendation of the assessor
and the petition be(approved/denled)and an abatement/refund be(approved/denied)for property tax year(s)
and . The taxes to be abated/refunded for property tax year_LJ-6 __are$ 5,3 49
which represents an assessed value of$ ter Igo and the taxes to be abated/refunded for property tax
year ZOAD are$ which represents an asse ed value of$ lsz r Ir10
Chair
pereon of the B rd of Coun Commissionere'Signature
I' County Clerk and Ex-officio Clerk of the Board of County Commissioners
in and for the a orementione county, o ereby certify that the above and foregoing order Is truly copied from the
record of the proceedings of the Beard of Coun4nners.
IN WITNE hage hereunto set ixed thhe�e,sse,�e,allof said County
at �; this— zL day of � —
Tim C'll''i,A, Year
x
cOLO*jAN County Clerk's or Deputy County Clerk's Signature
ACTION OF THE PROPERTY TAX ADMINISTRATOR
Denver, Colorado, Z O Z_
The ac ntit5 of the Poard of County Commissioners, relative to the within petition, is hereby M to lay Year
d; ❑A proved in part$,, ❑ Denied for the following reason(s):
S cretary's Si a re ro T �amn 6:U1SR1...V18A REV2
Z/ 9—e; , l
PETITION FOR ABATEMENT OR REFUND OF TAXES
Please submit in du lica a copies and answer all questions.
County Name P i r )t I Date Received
Use Assessor's or Commissioners'Date Stamp
PETITIONER: Complete Section 1 on this side only RECEIVED
Section 1: DEC 19 20
Date: D&C)Va,6L goo p��e
Month ,Day Year
Petitioneltame• ':�, 6 z
Petitioner's mailing address: 1 `1 b
;A- S P Q YJ
City or Town State Zip Code
SCHEDULE OR PARCEL NUMBER(S) PROPERTY ADDRESS OR LEGAL DESCRIPTION OF PROPERTY
V13
Petitioner states that the taxes assessed against the above property for property tax year(s) IR`1 9 r Z 0 o 0
are incorrect for the following reasons: (Briefly describe the circumstances surrounding the incorrect value or tax.
(The Detitioner's estimate of actual value must be Included ) Attach.additional sheets if necessary.
(�U� U a.l V� CL �1 e, �x k 5 Inv' L tQ l vi 1/�
a 0o 0v
I- L I o w � L
Petitioner's estimate of actual value$ ,?kQ 660 <oo )q( WL )and $ 2,L000, 060 ,0 aon
Value Year Value ygar
Petitioner requests an abatement or refund of the appropriate taxes associated with a reduction invalue'*
I declare, under penalty of perjury in the second degree, that this etition together with an accompany-1 '.exhibits
P tY P 1 rY 9 P 9 Y 9
or statements, has been examined by me, and to the best of my knowledge, information and belief, is true; correct
and complete. Z �
Daytime Phone Number(`�'J) 3
Pet]tlonees Signature
\! 47
BY U- Daytime Phone Number 10 Z-S- °� r
Agent's Signature•
*Letter of agency must be attached when petition is submitted.
Every petition for abatement or refund filed pursuant to section 39-10-114, C.R.S., 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.
Section II. Assessor's Use Only
Tax Year iiM_ Tax Year 2,000
Assessed Value Tax Assessed Value Tax
Original ALW) l 151 .0 ZJ46,ago
Corrected A 1, 4 ►R y � 5 l
Abate/Refund 15Z 3g�.6Z 15z, lio 3. �14.