Fillable PETITION FOR ABATEMENT OR REFUND OF TAXES (Elbert County Government)

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PETITION FOR ABATEMENT OR REFUND OF TAXES (Elbert County Government)

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PETITION FOR ABATEMENT OR REFUND OF TAXES
County: __ Date Received
(Use Assessor’s or Commissioners’ Date Stamp)
Section I: Petitioner, please complete Section I only.
Date: __________________________
Month Day Year
Petitioner’s Name:
Petitioner’s Mailing Address:
City or Town State Zip Code
SCHEDULE OR PARCEL NUMBER(S) PROPERTY ADDRESS OR LEGAL DESCRIPTION OF PROPERTY
_____________________________
_____________________________
_____________________________
Petitioner requests an abatement or refund of the appropriate taxes and states that the taxes assessed against the
above property for property tax year(s) and are incorrect for the following reasons: (Briefly
describe why the taxes have been levied erroneously or illegally, whether due to erroneous valuation, irregularity in
levying, clerical error or overvaluation. Attach additional sheets if necessary.)
Petitioner’s estimate of value: $________________ (_______) and $________________ (________)
Value Year Value Year
I declare, under penalty of perjury in the second degree, that this petition, together with any accompanying exhibits
or statements, has been prepared or examined by me, and to the best of my knowledge, information and belief, is
true, correct, and complete.
_________________________________________ Daytime Phone Number ( )
Petitioner’s Signature
Email _________________________________________
By_______________________________________ Daytime Phone Number ( )
Agent’s Signature*
Printed Name: _____________________________ Email _________________________________________
*Letter of agency must be attached when petition is submitted by an agent.
If the Board of County Commissioners, pursuant to § 39-10-114(1), C.R.S., or the Property Tax Administrator, pursuant to § 39-2-116, C.R.S.,
denies the petition for refund or abatement of taxes in whole or in part, the Petitioner may appeal to the Board of Assessment Appeals pursuant
to the provisions of § 39-2-125, C.R.S., within thirty days of the entry of any such decision, § 39-10-114.5(1), C.R.S.
Section II: Assessor’s Recommendation
(For Assessor’s Use Only)
Tax Year __________ Tax Year __________
Actual Assessed Tax Actual Assessed Tax
Original ________________ ________________ ______________ _________________ ________________ ______________
Corrected ________________ ________________ ______________ _________________ ________________ ______________
Abate/Refund ________________ ________________ ______________ _________________ ________________ ______________
Assessor recommends approval as outlined above.
If the request for abatement is based upon the grounds of overvaluation, no abatement or refund of taxes shall be made if an objection or
protest to such valuation has been filed and a Notice of Determination has been mailed to the taxpayer, § 39-10-114(1)(a)(I)(D), C.R.S.
Tax year: ________ Protest? No Yes (If a protest was filed, please attach a copy of the NOD.)
Tax year: ________ Protest? No Yes (If a protest was filed, please attach a copy of the NOD.)
Assessor recommends denial for the following reason(s):
Assessor’s or Deputy Assessor’s Signature
15-DPT-AR No. 920-66/16
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FOR ASSESSORS AND COUNTY COMMISSIONERS USE ONLY
(Section III or Section IV must be completed)
Every petition for abatement or refund filed pursuant to § 39-10-114, C.R.S. 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.
Section III: Written Mutual Agreement of Assessor and Petitioner
(Only for abatements up to $10,000)
The Commissioners of _______________________ County authorize the Assessor by Resolution No. _________
to review petitions for abatement or refund and to settle by written mutual agreement any such petition for
abatement or refund in an amount of $10,000 or less per tract, parcel, or lot of land or per schedule of personal
property, in accordance with § 39-1-113(1.5), C.R.S.
The Assessor and Petitioner mutually agree to the values and tax abatement/refund of:
Tax Year __________ Tax Year __________
Actual Assessed Tax Actual Assessed Tax
Original ________________ ________________ ______________ _________________ ________________ ______________
Corrected ________________ ________________ ______________ _________________ ________________ ______________
Abate/Refund ________________ ________________ ______________ _________________ ________________ ______________
Note: The total tax amount does not include accrued interest, penalties, and fees associated with late and/or delinquent tax payments, if
applicable. Please contact the County Treasurer for full payment information.
___________________________________________
Petitioner’s Signature Date
___________________________________________
Assessor’s or Deputy Assessor’s Signature Date
Section IV: Decision of the County Commissioners
(Must be completed if Section III does not apply)
WHEREAS, the County Commissioners of _________________ County, State of Colorado, at a duly and lawfully
called regular meeting held on _____/_____/_____, at which meeting there were present the following members:
Month Day Year
___________________________________________________________________________________________
___________________________________________________________________________________________
with notice of such meeting and an opportunity to be present having been given to the Petitioner and the Assessor
of said County and Assessor _______________________________________(being present--not present) and
Name
Petitioner __________________________________(being present--not present), and WHEREAS, the said
Name
County Commissioners have carefully considered the within petition, and are fully advised in relation thereto,
NOW BE IT RESOLVED, that the Board (agrees--does not agree) with the recommendation of the Assessor
and the petition be (approved--approved in part--denied) with an abatement/refund as follows:
______ ______________ _______________ ______ ________________ _______________
Year Assessed Value Taxes Abate/Refund Year Assessed Value Taxes Abate/Refund
____________________________________________
Chairperson of the Board of County Commissioners’ Signature
I, _______________________________County Clerk and Ex-officio Clerk of the Board of County Commissioners
in and for the aforementioned county, do hereby certify that the above and foregoing order is truly copied from the
record of the proceedings of the Board of County Commissioners.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said County
this ___________ day of__________________, _________.
Month Year ____________________________________________
County Clerk’s or Deputy County Clerk’s Signature
Note: Abatements greater than $10,000 per schedule, per year, must be submitted in duplicate to the Property Tax Administrator for review.
Section V: Action of the Property Tax Administrator
(For all abatements greater than $10,000)
The action of the Board of County Commissioners, relative to this abatement petition, is hereby
Approved Approved in part $___________________ Denied for the following reason(s):
____________________________________ _____________________________ __________
Secretary’s Signature Property Tax Administrator’s Signature Date
15-DPT-AR No. 920-66/16
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PETITION FOR ABATEMENT OR REFUND OF TAXES (Elbert County Government)

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Completed 21 January 2021

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