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DLGF > Assessors > Overview and Manuals > Assessor Forms Assessor Forms

Form number    
Form 1 Notice of Placing a Mobile Home For use in notifying of placement of mobile home.
Form 2 Notice of Assessment of Mobile Home For use in documenting assessment of mobile home.
Form 11C/I Notice of Assessment of Land & Structures For use by Assessing Officials to inform taxpayers of a property’s assessed value.
Form 14 Report to County Assessor by Township Assessor For use by township assessor in detailing the assessed properties.
Form 15 Report to Department of Local Government Finance from County Assessor For use in reporting the gross assessed value in a county.
Form 29 Real Property Assessor’s Book For use by assessing officials in reporting real property to the county auditor.
Form 29A Personal Property Assessor’s Book For use by assessing officials in reporting personal property to the county auditor.
Form 29 MH Annually Assessed Mobile Home Assessor’s Book For use by county and township assessor’s in reporting the value of mobile homes.
Form 34-C Certification of County Assessor (of Railroad & Public Utility) For use by County Assessor to report to the Department the public utility and railroad assessments in a county.
Form 34-T Certification of Township Assessor (of Railroad & Public Utility) For use by Township Assessor to report to the County Assessor the public utility and railroad assessments in a county.
Form 113 Notice of Assessment by Assessing Official For use in documenting change of assessments.
Form 113 PP Notice of Assessment Change by Assessment Officer - Personal Property For use in documenting change of assessments.
Form 115 Notice of Final Assessment Determination For use in notifying a petitioner of the revised assessed value following review by the PTABOA.
Form 122 Report of Assessment for Omitted or Undervalued Property Assessment & Assessment Penalties For use in notifying taxpayer of undervalued or omitted assessment.
Form 122A Report to County Auditor of Added Assessments & Assessment Penalties For use by the County Assessor to inform the County Auditor of properties in which penalties have been assessed.
Form 133 Petition for a Correction of Error For use by taxpayers to petition for review of property taxes due to a mathematical error, levying of illegal taxes, or error or omission of the assessing official or state.
Form 135 Affidavit of Destroyed or Removed Property For use to petition for removal of assessment due to removal or destruction.
Form 136
Form SP198
Form 136-2		 Application Package for Property Tax Exemption All three forms must be completed prior to submission to the County Assessor.
Form 137R Petition for Survey & Reassessment Real & Personal Property Partially or Totally Destroyed by Disaster For use by taxpayers to request a reassessment following a disaster.
Form 322 ERA Application for Deduction of Assessed Valuation of Structures in Economic Revitalization Area Only applies to properties located in an ERA.
Form 786 Notice of Assessment Registration For use when improving, structurally modifying, or demolishing property.
Form 46021 Sales Disclosure For use in reporting sales of property.
Form ADZ1 Statement for Deduction of Assessed Valuation (Fertilizer & Pesticide Storage Improvements) For use by County Auditor in documenting the reduction of the assessed value with improvements.
Form G & O1 Property Schedule for Gas and Oil Wells For use by petroleum companies to declare value.
Form R 10-01 Application for Wetland Adjustment to Land Assessed Using Agricultural Soil Productivity Method For use when a NRCS certified wetland of more than 2.5 acres exists on agricultural land.
Form RECCP Statement for Deduction of Assessed Valuation (Buildings Constructed of Coal Combustion Products) For use by taxpayer to claim deduction for buildings constructed with recycled coal products.
Form RPID1 Application for Deduction in Assessed Valuation Real Property Investment Deduction Must be filed with the township assessor.
Form SB-1/RE Statement of Benefits Real Property Must be submitted to the body designating the Economic Revitalization Area prior to the public hearing.