Fillable Application To Board Of Assessment Appeals Motor Vehicle Hearing (Essex Town Hall)

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Application To Board Of Assessment Appeals Motor Vehicle Hearing (Essex Town Hall)

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APPLICATION TO THE BOARD OF ASSESSMENT APPEALS
FOR SEPTEMBER MOTOR VEHICLE HEARINGS
C/O Assessor’s Office, 29 West Avenue, Essex, CT 06426
(Bills from immediate previous July)
Please fill out all sections of this application form.
Owner: __________________________________________
Address: __________________________________________
__________________________________________
__________________________________________
Motor Vehicle Grand List Account Number: ________________
Vehicle Make: _____________ Vehicle Model: _________________ Vehicle Year: ___________
Owner’s Estimate of Value (Full Value, not the 70% Assessed Value): ________________________
Reason for the Appeal: ______________________________________________________________________
__________________________________________________________________________________________
Correspondence to be sent to: Name: _______________________________________
(if someone other than the
owner will attend the hearing) Address: _______________________________________
_______________________________________
Phone #: _______________________________________
Email: _______________________________________
___________________________________________________________ _____________________
(Signature of owner or duly authorized agent with authorization attached) Date Signed
Appeal Summary by Board of Assessment Appeals:________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
ORIGINAL ASSESSMENT BAA DECISION
__________________________________________________________________________________________
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Application To Board Of Assessment Appeals Motor Vehicle Hearing (Essex Town Hall)

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Completed 14 July 2020

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