Free BEFORE THE BOARD OF TAX APPEALS OF THE STATE OF KANSAS - Kansas

BEFORE THE COURT OF TAX APPEALS OF THE STATE OF KANSAS PROPERTY VALUATION EXEMPTION (State Assessed Property) APPLICANT: __________________________________________ Applicant Name (Owner of Record) __________________________________________ Applicant Address (Street or Box No.) __________________________________________ City State Zip

(For State of Kansas use only)

DOCKET NO.__________________-PVX
Applicant Phone #:(____)_____________________ Applicant E-mail: ___________________________ Fee:_____________ Rec. Date:________ ATTORNEY OR REPRESENTATIVE: (If applicable)* No Fee:__________ __________________________________________ Representative Name Title __________________________________________ Representative Address __________________________________________ City State Zip Atty/Rep Phone #:(_____)_____________________ Representative E-mail:________________________ (For PVD use only) Reason: ___________ Amt Rec.__________ Ck #______________

Parcel ID # or ID # used by PVD:

___________________________________
*Note: If you are represented by an attorney or other individual, you must provide the Court with either an Entry of Appearance or a current Declaration of Representative form approved by the Court of Tax Appeals. Tax Representatives are not permitted to sign applications filed with the Court.

___________________________________ ___________________________________

PVD's valuation:$_____________________ Taxing County:_____________________________ Year/Years at issue: _________________________ Property at issue: Real Property---Street address, city: ___________________________________________________ Personal Property---Description:______________________________________________________ LBCS Function Code: __________________

CTA-PVX (Rev. 7/08)

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1.

Real Property--For real property, provide a description of all improvements, and attach a copy of the deed. ___________________________________________________________________________ ___________________________________________________________________________

2.

Personal Property--For personal property, provide an itemized list of all items, including the acquisition date(s) and any legal documentation of ownership. (If the description is lengthy, attach additional pages to this form.) ___________________________________________________________________________ ___________________________________________________________________________

3.

If personal property, where was the property located on January 1 of the year you request the exemption to begin? (Provide the street address, city, county and state.) ___________________________________________________________________________ Is the subject property leased? _____No _____Yes. If yes, attach a copy of the lease agreement.

5. 6.

Indicate all uses you make of the subject property: (Explain in detail.) ___________________________________________________________________________ ___________________________________________________________________________

7.

Indicate how often you use the subject property for this purpose(s). ___________________________________________________________________________ ___________________________________________________________________________

8.

Indicate all other individuals, groups or organizations that use the subject property. Explain in detail how each individual or entity uses the property. ___________________________________________________________________________ ___________________________________________________________________________

9.

Indicate whether or not a fee is charged in relation to the use of the subject property. If a fee is charged, please explain why there is a fee, how that fee is determined or calculated, and what purpose the fee serves. Include a copy of any fee schedules. ___________________________________________________________________________ ___________________________________________________________________________

10.

Date you acquired ownership of subject property: ___________________________________ Date the property was first used for exempt purposes: ________________________________ Date you are requesting the exemption to begin:_____________________________________ Date construction commenced and ended*:_________________________________________ *(If property is new construction)

11. 12.

Which statute authorizes the exemption: ___________________________________________ Do you request a hearing on the application for exemption? _____Yes _____No

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VERIFICATION

I, ________________________________, do solemnly swear or affirm that the information set forth herein is true and correct, to the best of my knowledge and belief. So help me God.

_____________________________________ Signature of Applicant _____________________________________ Printed Name and Title State of ____________________ County of __________________ ) )

This instrument was acknowledged before me on __________ by ______________________________.

Seal

_____________________________________ Signature of Notary Public

My appointment expires: ________________

Property Valuation Exemption Page 4 of 5

DIRECTOR OF THE DIVISION OF PROPERTY VALUATION RECOMMENDATIONS AND COMMENTS TO DIRECTOR: Pursuant to K.S.A. 79-213, and amendments thereto, the Director of Property Valuation is required to review each application and recommend whether the relief sought should be granted or denied. Therefore, please answer the following questions and provide any additional comments you believe are necessary to support your recommendation. The Director shall provide a copy of the completed comments and recommendations to the applicant. 1. Do you find the facts as stated by the applicant represent the true situation?_____Yes _____No 2. Do you recommend that the exemption herein requested be granted? 3. Do you request a hearing on this application? _____Yes _____No _____Yes _____No

Indicate the year the State first placed the subject property on the tax rolls under the name of the current owner:_________________________________

Please provide any additional comments as to the Division of Property Valuation's position regarding the taxpayer's request. ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ VERIFICATION

I, ________________________________, do solemnly swear or affirm that the information set forth herein is true and correct, to the best of my knowledge and belief. So help me God.

_____________________________________ Signature _____________________________________ Printed Name and Title State of ____________________ County of __________________ ) )

This instrument was acknowledged before me on __________ by ______________________________.

Seal

_____________________________________ Signature of Notary Public

My appointment expires: ________________

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TAX EXEMPTION FOR STATE ASSESSED PROPERTY INSTRUCTIONS

1.

Each application for tax exemption must be filled out completely with all accompanying facts and attachments. The statement of facts must be in affidavit form. Applications or statements that have not been signed by the property owner before a Notary Public will not be considered. Pursuant to K.S.A. 79-213, and amendments thereto, the property owner is required to file the application. If the subject property is leased, the lessee can not file the application. Pursuant to Kansas law, the burden is on the applicant to prove affirmatively that relief is necessary. Failure to do so will result in the denial of the request for exemption. Enclose any applicable filing fee(s) pursuant to K.A.R. 94-2-21. Checks or money orders should be made payable to the Court of Tax Appeals. For information regarding fees with the Court of Tax Appeals, visit www.kansas.gov/cota/ or contact the Court at (785) 296-2388. The County Appraiser's office also has fee schedules available.

2.

3.

This form along with the attachments is to be filed with the Division of Property Valuation for recommendations pursuant to K.S.A. 79-213(d). Division of Property Valuation Docking State Office Building 915 SW Harrison, Suite 400 Topeka, KS 66612-1588 The Division of Property Valuation will forward the application to the Court of Tax Appeals. The applicant will also provide a copy of the application to the County Appraiser.