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            NOTICE OF DEFECT IN COMPLETION
                                                                                                           FORM 138
            OF ASSESSMENT APPEAL 
            State Form 43087 (R4 / 1-18)
            Prescribed by the Department of Local Government Finance
Name of petitioner

Address of petitioner (number and street)                            City                            State         ZIP Code

Name of authorized representative (If different from taxpayer.)

Address of authorized representative (number and street)             City                            State         ZIP Code

 You have filed the following appeal form (attached):
Filing date (month, day, year) Petition number                       Form number (check one)          Assessment date for which form was filed
                                                                           130          ____________         January 1, 20___________
Description and location of property

County                                                   Township                             Parcel or key number (for real property)

 Completion of the above-referenced 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 thirty (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                                                            Title                                         Date (month, date, year)