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Complete Either Section 1 or Section II
RESOLUTION OF COUNTY COMMISSIONERS
Section l: 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 mahtal agrr.'mrnt 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 Cornmission Resolution #
The Assessor and petitioner mutually agree to an assessed value of $ for
ik 1 Ail / OA tax for the year(s) 19 and an abatement/refund of $
.J PI. YdOT E TOTAL TAX AMOUNT DOES NOT INCLUDE ACCRUED INTEREST, PENALTIES,
AND FEES IF APPLICABLE, PLEASE CONTACT YOUR COUNTY TREASURER FOR FULL PAYMENT
INFORMATION.
Petitioner's Sigoswre Date Assessor's SigNium Diaz
If Section I is not complete and/or if petition is for more than $1,000, Section ll amst be co p eted.
Section II: Assessors's recommendation:
I Y [approved - 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
By:
• Dep. Assessor
HEREAS, The County Co ssionets of /" ? 1 &._ / County,
State of Colorado, at a duly and lawfully called regular meeting held on the 5' " day
of � . - ' , A.D. 19 , at whi h meeting there were .. present the following.
memp J
rs r ! % u i y y l '- ./ f / r <1rr/ 1- , L
notice of such meeting and of opportunity to be present havifi ieen given to, the taxpayer and the
Assessor of said County and said Assessor 21.+'- I-ie ..<,' / and taxpayer
and
n
Door iel
WHEREAS, The said County Commissioners have carefully considered the within applir uion, and
are fully advised in relation thereto,
NOW BE IT RESOLVED, That the Board concurs with the recommendation of
(concurs or does not concur)
the assessor and the petition be approved , and an abatement refund hp al1oiie.d
(aooroved or denied) (be allowed Of not be allowed)
on an assessed valuation of $_ 145,000 _ for $_ 6,459.61 total tax for the year(s) 1998 .
STATE OF COLORADO,
ss.
County of l� �.ti` �-
r,i f y-!/ ( . , .? �� J <". , County Clerk and Ex-officio Clerk of the
Board of County' Commissioners in and for the County of f i j,
State of Colorado, do hereby certify that the above and foregoing order is trrulycopied from the records
of the proceedings of the Board of County Commissioners for said
County, now in my office.
IN WITNESS WHEREOF,/I have hereunto set my hand and affixed the sea! of said County,
at / i"L /1.i , this ..:.�s - day of , A.D. 19 2
mmissioners
County, Clerk
Deputy
ACTION OF THE PROPERTY TAX ADMINISTRATOR
Denver, Colorado, 19
The action of the Board of County Commissioners, relative to the within petition, is hereby
0 approved; ❑ approved in part $ 0 denied for the following reason(s)
Secretary
Property Tax Administrator
FORM 920 (66.93) t
PETITION FOR ABATEMENT OR REFUND OF TAXES
Must be tiled In duplicate and all questions must be answered.
RELPA E, )I
n
MAY 51,:;"
Petitioners: Complete this side only.
jp &Ai , Colorado,
City or Tow,
To The Honorable Board of Commissioners of
Gentlemen:
The petition of
whose mailing address is.
,0en/
city or Toxin
SCHEDULE NUMBER
, 0,6'Y "7s
County
ORIGINAL
-Suri� .E
State Zip Code
DESCRIPTION OF PROPERTY AS LISTED ON TAX ROLL
5}tea ; soy{Trfsnic /'t1'4 /'/ 1e 7 -
respectfully requests that the taxes assessed against the above property for the years A.D.
19 `d", 19 , 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)
/47per-tr i a/c /isc�r^S o�'c�/' /7�v, ✓s
, i;4rvc, l "e'C' D vim S - c., 4./0 /'7 ✓C
0 I /wfJ /' Cyr Oleia/c tot.
/ 1/-1- (ee e r c, etc `evc /K dt' ,' 1/,41-4- • 0 9C
7L ,%mac° ,^ r_r / c) vc rs
FIGURES USED BY
Pt i i t tUNER ARE
CORRECT
S��7cxvx47 Orig.
Abate.
-SZ2;4-..0%2"?- Bal.
19
Value
96 Jvv
9,
19
Tax Value Tax
6.3.5.
d 'S'. %6 /
Thew foie the petitioner requests that the taxes may be abated or refunded in
1 declare, under penalty of perjury in the second degree that this petition, toge
exhibits or statements, has been examined by me and to the best of my knowledge,
is true, correct mplete.
By
Petitioner
Address )"70)o ba ...^.. /�
Agent
Date
panying
rand and belief
c7F�'7
aytime phone number Cy��) `f '43csi�
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.