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2. PETITION FOR APPEAL BEFORE THE COUNTY BOARD OF EQUALIZATION
3. Assessor Time/Date Received:
5. Uinta County Assessor, Uinta County Courthouse
   Evanston, WY 82930. 307-783-0334/307-783-0336 fax
7. Please review the following link for Appeal process before filling this form out.
   Appeal Process
9. In accordance with the Wyoming State Statute 39-13-109 (b)(i), any person wishing to contest an assessment of their property shall file a statement, under oath, no later than (30) days following the date of the mailing of the annual Notice of Assessment. Statement is filed with the County Assessor, the County Assessor shall provide a copy to the County Clerk of the County Board of Equalization, specifying reasons why the assessment is incorrect. An Informal Hearing will be conducted by the Assessor. A Formal Hearing is the result of an unresolved Informal hearing with the Assessor. Fifteen (15) days prior to the hearing, the person shall exchange with the County Assessor copies of any evidence or document (s) they intend to present during the County Board of Equalization hearing.
11. Type of Property Contested

    1. 1-Residential

    1. 2-Vacant land

    1. 3-Commercial

    1. 4-Other
13. If other, please explain:
15. Name of Owner on Notice of Value
16. Parcel Identification Number
18. Mailing Address
22. City
23. State
24. Zip
26. Site Address
28. Street Number
29. Street Name
30. Street Type
31. Apt #
33. City
34. State
35. Zip
37. Daytime Phone #
38. Legal Description:
40. Brief explanation of unresolved matter. Please email complete Protest documents to loperkins@uintacounty.com, fax to 307-783-0336 or mail to 225 9th Street, Evanston, WY 82930.
42. W.S. 39-11-105: If you are requesting an exemption, please cite the statutory exemption requested with a brief explanation.
44. I hereby certify that the foregoing statements and information are true, accurate, and complete to the best of my knowledge, information, and belief. A proportion of expenses incurred for the hearing shall be charged to any petitioner who does not notify the County Assessor of an intended absence 48 hours in advance of the hearing date.
46. Name of Applicant:
47. Date:
49. WITHDRAWAL
51. If you wish to withdraw your protest at any time, you may do so by signing below.
53. I HEREBY WITHDRAW THE ABOVE PROTEST:
55. Signature
57. Title
59. Date
61. FOR OFFICE USE ONLY:
    Informal Hearing Time:_______________
    Informal Hearing Date: _______________
    Formal Hearing Time:_______________
    Formal Hearing Date:_______________
    Disposition:_______________________
    Assessor:________________________
62. DOCKET NUMBER:
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