TOWN OF GOSHEN
CONNECTICUT
Property Assessment Appeal
Request for Hearing before the Board of Assessment Appeals
Property Owner(s)____________________________________________________________________________
Name of Signer (if Signer is different from owner)__________________________________________________
Position of signer (if signer is different from owner)_________________________________________________
Property Owner will be represented by: self________________agent___________________________________
(If by agent, must complete Agent’s Certification form)
Name and Address of person to whom all notices and correspondence should be sent (list one address only):
Name___________________________________________________________________
Address_________________________________________________________________
Phone: (_____)_________________________
Type of property being appealed: Real Estate___Motor Vehicle___Personal Property___
Description of property being appealed (location if real estate, year/make/model/marker number if motor vehicle)
___________________________________________________________________________________________
Reason for appeal_____________________________________________________________________________
Appellant’s estimate of the value of the property being appealed________________________________________
Hearings will be scheduled on Friday evening March 19th and Saturday March 20th .
You will be notified by mail of your hearing date, time and location at least seven days prior to your hearing.
Signature of Owner or Agent (Agent only if authorization form is completed)
________________________________________________Date_________________________
PLEASE NOTE THAT THE ABOVE FORM MUST BE COMPLETED IN ITS ENTIRETY AND RECEIVED BY THE BOARD OF ASSESSMENT APPEALS NO LATER THAN FEBRUARY 20, 2010. PROPERTY OWNERS APPEALING MORE THAN ONE PROPERTY OR MOTOR VEHICLE MUST FILE A SEPARATE FORM FOR EACH ACCOUNT BEING APPEALED.
BOARD OF ASSESSMENT APPEALS 860-491-2115
Please return to: Board of Assessment Appeals
Town of Goshen
42A North Street
Goshen, CT 06756
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