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NOTICE OF ASSESSMENT / CHANGE
BY ASSESSING OFFICIAL                                                                                               FORM 113
State Form 46725 (R9 / 12-20)
Prescribed by the Department of Local Government Finance

Name and address of property owner:

You are hereby notified that the assessment as of _______________ 1, 20____, of the property described below in 

_________________________________________ Township, __________________________________________

County, has been changed from $ _______________________________ to $ ______________________________.

Description of property

Notice to the taxpayer of the opportunity to appeal (IC 6-1.1-15-1.1, 1.2):
If the taxpayer does not agree with the action of the Assessing Official giving this notice, an appeal can be initiated to 
challenge that action. To file an appeal, the taxpayer must file a “Form 130 - Taxpayer’s Notice to Initiate an Appeal” 
with the township or county assessor in a timely manner. If this notice is mailed before May 1 of the assessment year, 
the filing deadline is June 15 of that year. If this notice is mailed on or after May 1 of the assessment year, the filing 
deadline is June 15 in the year that the tax statements are mailed. (IC 6-1.1-15-1.1) This form is available from the 
Assessing Official or at: https://forms.in.gov/Download.aspx?id=6979. An Assessing Official who receives a Form 130 
must schedule a preliminary informal meeting with the taxpayer in order to resolve the appeal. The Assessing Official 
and taxpayer must exchange the information each party is relying on at the time of the preliminary informal meeting to 
support the party's respective position on each disputed issue concerning the appeal.
NOTE: Failure to file a timely Form 130 can be grounds for dismissal of this appeal.

DATED:  ________ day of _________________________________, 20_______.
Signature of assessing official                         Title of assessing official

Typed or printed name of assessing official             Address of assessing official (number and street, city, state, and ZIP code)

To County Auditor:
The reasons for and facts supporting the above action are as follows:

Signature of assessing official                                                       Date signed (month, day, year)