Petition

Board of Assessment Appeals

Town of Orange, Connecticut

By authority of section 12-111 of the Connecticut General Statutes, as amended, please print or type the requested information concerning each property under appeal. This form must be completed and returned to the Board of Assessment Appeals no later than March 20, 2007 to secure a hearing.

Grand List October 1, 2006

· Property Owners Name: _______________________________________________________

· Appellant’Name:_____________________________________________________________

· Property location:____________________________________________________________

(number and street)

Map/Block/Lot (if real property) ____-____-_____

· Property Type:_______________________________________________________

(residential; commercial; industrial; personal property; motor vehicle)

· Reasons for Appeal:_________________________________________________________

_____________________________________________________________________________

· Appellant’s estimate of value:________________________________________________

(attach all documentation of value)

· Name, mailing address, telephone number and/or fax number of the party to be sent correspondence:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

____________________________________________ ____________________

Signature of the property owner or duly authorized agent Date

(attach evidence of authorization)

Returned to: Board of Assessment Appeals Date: ___/___/____

Town of Orange Time: ____:______

617 Orange Center Road Hearing place: ________________

Orange, Connecticut 06477 ____________________________

petition.doc