PAYMENT UNDER PROTEST APPLICATION
(Excluding Illegal Levy)
(K.S.A. 79-2005)
APPLICANT:
__________________________________________
Applicant Name (Owner of Record)
__________________________________________
Applicant Address (Street or Box No.)
__________________________________________
City State Zip
Applicant Phone #:(____)_____________________
ATTORNEY OR REPRESENTATIVE: (If applicable)*
__________________________________________
Representative Name Title
__________________________________________
Representative Address
__________________________________________
City State Zip
Atty/Rep Phone #:(_____)_____________________
*Note: If you are represented by an attorney or
other individual, you must provide an Entry of Appearance
or a current Declaration of Representative Form.
Taxing County:_____________________________
Year/Years at issue: _________________________
Property at issue:
Real Property---Street address, city:_____________________________________________________
Personal Property---Description: _______________________________________________________
BTA-PR (Rev. 7/14)
(For Official use only)
Payment Under Protest
Page 2 of 3
1. Taxes paid: 1
st
half_____ 2
nd
half_____ Full_____
2. Are taxes paid by a mortgage company, bank or savings & loan? Yes_____ No_____
3. What do you believe is the value and /or proper classification of this property for the year being
protested? $___________________ ____________________________________.
4. Explain why you are filing a protest and the statute, law, or facts on which your protest is based –
please be specific:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
(If more space is needed, attach additional sheets.)
I do solemnly swear or affirm that the information set forth herein attached hereto or hereafter by me is true
and correct to the best of my knowledge and belief.
_____________________________________ ________________________
Signature of Applicant Date
_____________________________________
Printed Name and Title
THIS FORM MUST BE FILED WITH YOUR COUNTY TREASURER.
For County Treasurer’s Official Use Only
Class %
County
Appraised
Value
County
Assessed
Value
Taxpayer’s
Assessed
Value
Invalid
Assessment
Total
Mill
Levy
Amount of
Taxes
Protested
Payment Under Protest
Page 3 of 3
GENERAL INTRUCTIONS FOR FILING A PAYMENT UNDER PROTEST
(Excluding Illegal Levy)
1. You may protest your taxes only if you did not file an equalization appeal on the valuation of the same
property for the same tax year. If you have protested your first half payment of taxes, you may not
protest your second half payment.
2. Complete the tax protest form and FILE A COPY WITH THE COUNTY TREASURER’S OFFICE
ON OR BEFORE DECEMBER 20. (If at least one-half (1/2) of the taxes are paid by an escrow agent,
a protest of the taxes must be filed no later than the following January 31.) If taxes are paid after these
deadlines, any protest of the taxes must be filed at the time the taxes are paid.
3. The County Appraiser will contact you to schedule an informal meeting with that office.
4. When you receive notification of the results of the informal hearing, if you disagree with those results,
you have 30 days from the mailing date of that notification within which to file an appeal with the
Small Claims and Expedited Hearing Division or the Regular Division of the State Board of Tax
Appeals. The county will include a form and filing instructions for filing to the State Board of Tax
Appeals with your notification of hearing results.