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Tax Court of New Jersey
Case Information Statement
Correction of Error in Assessment (CIS-C/E)
INSTRUCTIONS: To be attached to face of complaint (type or print) Attorney Name (List your information if you are not represented by an attorney) Street City NOTE: State Zip Telephone Number

In order to proceed in the Small Claims Division, the property at issue must be a class 2 property (1-4 family residence) or a class 3A farm residence Check / other Attorney Charge Account #

Filing Fee Submitted $

Part A. Fill in the following:
1. Plaintiff 2. County 3. Assessment year(s) in contest 4. Property Address 5. Property Type (check one) Industrial 1-4 Family Residence (class 2) Farm Residence (class 3A) Commercial 6. Is plaintiff the Owner 7. Type of error (check one) Typographical Tenant Transposition Other Other Block Defendant Lot Unit

Vacant Land Multi-Unit Residential (over 4 Units) Farmland Other

8. Is any action pending before the Tax Court for above property for a prior year(s)? Yes No Year(s) 9. If you wish to proceed in the Small Claims Division, the property at issue must be a (check one) class 2 property (1-4 family residence) or a class 3A farm residence 10. Is the Verified Affidavit complete and attached to complaint? Do you or your client have any needs under the Americans with Disabilities Act? If yes, please identify any requirements or accommodations you may require Will an interpreter be needed? Yes No If yes, for what language Yes Yes No No

PLEASE NOTE: Only an interpreter registered with the Administrative Office of the Courts may be used during a court proceeding.

Make checks payable to: Treasurer, State of New Jersey
Revised 09/2008, CN 10334-English, (CIS-C/E) page 1 of 1