Free 43087.PDF - Indiana

NOTICE OF DEFECT IN COMPLETION OF ASSESSMENT APPEAL FORM
State Form 43087 (R2 / 11-01) Prescribed by the Indiana Board of Tax Review

FORM 138

Name of petitioner Address of petitioner Name of authorized representative (if different from taxpayer) City State ZIP Code

Address of authorized representative

City

State

ZIP Code

You have filed the following petition form (attached) with the :
Filing Date (Month, day, year) Petition Number

County Assessor
Form Number (check one) 130 133 _____

County Auditor
Assessment Date For Which Form Was Filed March 1, ___________

Description and Location of Property

County

Township

Parcel or Key Number (for real property)

Completion of that form was found to be inadequate in the following respects: SECTION DEFECT

You are hereby notified that you may cure these defects by correcting the attached form or submitting a statement that you believe that the petition is not defective. The corrected form or statement must be filed by _______________________________________ (date 30 days from the date of this notice). Return the corrected form or statement to the address listed here:

FAILURE TO TIMELY RESPOND TO THIS NOTICE WILL RESULT IN THE DENIAL OF THE PETITION.
Signature and Title Date (month, date, year)