State of Washington
|Request for Direct Appeal |
|to the State Board of Tax Appeals |
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| |
|The following taxpayer requests the attached appeal be heard by the State Board of Tax Appeals without first having a hearing before the County Board of|
|Equalization. |
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|Parcel No: | | |
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|Property Type: | | |
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|Owner: | | |
| | |
|Mailing Address For All Correspondence Relating To Appeal: |
|Street Address: | | |
|City, State, Zip Code: | | |
|Daytime Phone No: | | |
|Name of Petitioner or Authorized Agent: | | |
|Main Issue: | | |
|Reason this should be heard by the Board of Tax Appeals: | | |
| | | |
| | | |
|Amount of value in dispute: |$ | |
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|All parties must agree to this request or the appeal shall be considered first by the County Board of Equalization. |
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|I Agree To This Request: |
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| |Date: | | | | |
| | | | |Taxpayer or Agent | |
| Yes No |Date: | | | | |
| |Assessor |
|The signature below represents a majority of the Board of Equalization; | |
|the minutes of the Board reflect the vote. | |
| Yes No |Date: | | | | |
| |Board of Equalization Chair |
| |
|THIS REQUEST MUST BE FILED WITH THE COUNTY ASSESSOR’S OFFICE. |
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|To ask about the availability of this publication in an alternate format for the visually impaired, please call (360) 705-6715. Teletype (TTY) users, |
|please call (360) 705-6718. For tax assistance, call (360) 534-1400. |
| |
|REV 64 0079e (w) (2/16/12) |
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