Appeal Form

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Please list the name and email of the site manager submitting this appeal in the spaces below.

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First Name

Last Name

General Information

Date

Borrower's Name

ACT File#

Property Street Address

Property Street Address 2

City

Property Address

Sales Price

Date of Sale

Reported Heated Sq. Feet

Actual Age

Site Size

Source of Data

APN / MLS #

Property Address

Sales Price

Date of Sale

Reported Heated Sq. Feet

Actual Age

Site Size

Source of Data

APN / MLS #

Property Address

Sales Price

Date of Sale

Reported Heated Sq. Feet

Actual Age

Site Size

Source of Data

APN / MLS #

Summary of Appeal

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