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ORANGE COUNTY <br />VALUATION APPEAL FORM <br />Based on the data here submitted I request to appeal the valuation of <br />the following property: <br />Owners Name: <br />A <br />L �7 /aG <br />Property Address: a <br />Do you have information about your property that the Tax Department <br />may not have that would affect its value? " If yes, what? <br />NOTE: Should you have problems such as non - buildable property or <br />non - perking property, documentation from the local jurisdiction must <br />be presented with this appeal. In this case it is not necessary to <br />proceed with attached forms. Simply attach proper documentation with <br />your signature below and return to address below. <br />(Owner's Signature) <br />(Date) <br />? /_ y YzrJ/ y1�77 <br />(Daytime Phone) <br />Return this form to the following address: <br />Orange County Assessor <br />Valuation Review <br />P.O. Box 8181 <br />Hillsborough, NC 27278 <br />