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           NOTICE OF REVIEW OF CURRENT YEAR'S ASSESSMENT
           (For Personal Property by the Assessor or County Property Tax Assessment Board of Appeals)                           FORM 111 / PP 
           State Form 21519 (R5 / 11-15)                                                                                        ASSESSMENT DATE
           Prescribed by the Department of Local Government Finance
                                                                                                                                JANUARY 1, 20 ______

NOTE: To the Assessor or County Property Tax Assessment Board of Appeals: Date of hearing must be at least thirty (30) days after the giving of this notice.
Name of taxpayer

Address (number and street, city, state, and ZIP code)

                                                      Date (month, day, year)                                    Time
YOU ARE HEREBY NOTIFIED THAT ON
                                                                                                                                                          AM PM
Location of hearing                                                                                              Room

The __________________________________ County Property Tax Assessment Board of Appeals or ____________________ Assessor, pursuant to its 

authority under IC 6-1.1-13 or IC 6-1.1-3-14 and 15, shall review the assessment as of January 1, 20 __________ of the following property:

Description           Farmer's Personal Property (Form 102)                 Business Personal Property (Form 103)

                                                               LOCATION OF PROPERTY
County                                                Township                                                   Taxing district

Address (number, street and city of property)

In considering the assessment, the Assessor or County Property Tax Assessment Board of Appeals intends to review the assessment for the following reasons:
      Taxpayer furnished insufficient information on Form 103 or filed an incomplete assessment return.

      To review an exemption or adjustment claimed on the assessment return.

      To verify basic compliance with 50 IAC 4.2.

      Return as filed appears estimated.

      Taxpayer’s failure to file required assessment return.

      To determine if lease or other not-owned property has been correctly reported.

      Other _________________________________________________________

Have available at said hearing the following books, records and evidence:

      Federal Tax Return for the period ______________________________________      General Ledger

      Financial statements for ______________________________________________       Depreciation Records

      Records of leased or other not-owned property        Other _____________________________________________________________________.

You, or your duly authorized representative, may submit any evidence deemed by you to be pertinent. In the event you fail to appear on the date and at 
the time stated in this notice, the Assessor or County Property Tax Assessment Board of Appeals shall determine the assessed value of the property 
being considered on the basis of the evidence before it. You will receive notice of the action taken by the Assessor or County Property Tax Assessment 
Board of Appeals.
Date (day, month, year)

Name (please print)                                                           Title                              Telephone number
                                                                                                                   (               )
Address (number and street, city, state, and ZIP code)

Signature                                                                                                        Date (month, day, year)