Owner/Agent Signature:
Revised: 3/23/2016 Page: 1
ASSESSMENT VALUE CHANGE REVIEW APPLICATION
(1) An application form is required for each separate tax parcel; (2) Applicant must be legal
owner, or duly authorized agent with an attached letter of authorization; (3) Documentation
supporting the applicant’s opinion must be submitted with application; (4) Appeal of income-
producing properties must include a detailed income/expense report and a rent roll for the
current and one prior year.
MAP REFERENCE #: ____ - ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___
(L) (S) (S) (S) (B) (B) (B) (B) (P) (P) (P)
PROPERTY ADDRESS: _________________________________________________________________________________
OWNER OF RECORD: ____________________________________________________________________
TYPE OF PROPERTY: 1 Single Family 1 2-4 Family 1 Multi-Family 1Commercial/Industrial
REASON FOR REVIEW REQUEST
1ASSESSMENT IS INEQUITABLE WITH SIMILARLY ASSESSED PROPERTY (Complete Section A)
(Complete Section B)
1
ASSESSMENT IS NOT EQUAL TO CURRENT YEAR MARKET VALUE
STATE YOUR SUPPORTED OPINION OF VALUE EFFECTIVE AS OF ___________:
$ ______________
APPLICANT: __________________________________________________________________________
( Print)
MAILING ADDRESS: ___________________________________________________________________
CITY: _____________________________ ST: ____ ZIP: ____________
TEL. CONTACT: (H) ____ - _____- _____ (W) ____ - ____ - _____ (C) ____ - ____ - _____
EMAIL ADDRESS:
__________________________________________
Note: A review will result in one of four actions
by the Assessor: (1) Decreased assessment, (2) Increased assessment, (3) No change, or (4)
Reassessment & equalization of neighboring properties
I certify that the descriptions and statements contained in this application are to the best of my knowledge both
correct and true. I understand that this request for assessment review may require the city appraiser to inspect
the exterior and interior of the property.
Given under my hand this ______ day of _________, ______.
(Day) (Month) (Year)
_________________________________________________
The pr
operty owner or authorized agent (with certified letter) must sign this form
Application #: ________
Real Estate Assessor
Room 802-City Hall
900 E. Broad St.
Richmond, VA 23219
For more information:
(
804) 646-7500
Rehab Base Value
Rehab Final Value
Supplemental Value Other _______________
Basis for review: (Please select one)
click to sign
signature
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