Free 51536.FH11 - Indiana

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AFFIDAVIT OF DESTROYED OR REMOVED PROPERTY
State Form 51536 (R / 7-08) / Form 135

FOR USE OF TAXING OFFICIALS

Prescribed by the Department of Local Government Finance INSTRUCTIONS: This is to be filed in duplicate with the assessing official.
Name of assessing official County

The undersigned respectfully petitions for a review and removal of the assessment as of March 1, 20________ upon the following described real estate. Description and location of real estate

Present assessed value of all improvements on the real estate Present assessed value of the improvements removed from the real estate

$ $

The assessment as it now stands is incorrect because the improvements listed below were destroyed or removed prior to March 1, 20________. Describe in detail the type of improvements, how removed and whether a partial or complete removal:

Under penalties of perjury, I hereby certify that the facts stated herein are true and complete.
Signature of petitioner Date (month, day, year)

Subscribed and sworn to, before me, this the ____________________ day of ____________________, _______________.
Signature of assessing official Date (month, day, year)

TO THE COUNTY AUDITOR: I certify that I have investigated the allegations contained in this petition including an inspection of the premises and find that said improvements have been not been removed and that the assessment on the improvements situated on above described real estate should be fixed in the amount of $_______________.
Signature of assessing official Date (month, day, year)