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
click to edit
Revised: 3/13/2017 Page: 2
PROPERTY OWNER SUPPORTING DATA
SECTION A (Assessment inequitable with similar properties). Comparable assessments can be viewed at the website listed below.
Please select up to three specific properties that are similar in location, architectural style and physical features to your property.
Address Description (size, room count, baths, condition, etc)
______________________ ___________________________________________
______________________ ___________________________________________
______________________
Current Assessment
$____________
$____________
$____________
___________________________________________
SECTION B (Assessment not equal to current year market value). A listing of all market sales is available in the report section of
the website address listed below. Please select up to three market sales from this list that are similar in location, architectural style
and physical features to your property.
Address Sale Date Sale Price Description (size, room count, baths, condition, etc)
______________________ ______ $________ _______________________________________
______________________ ______ $________ _______________________________________
______________________ ______ $________ _______________________________________
SECTION C: Income-producing property: On a separate attachment, provide a detailed rent roll and a detailed Income and Expense
statement for the current and one prior year.
(The city assessor website is: http://www.richmondgov.com/Assessor/index.aspx)