Real Estate Assessment Application For Review Form

	2019 REAL ESTATE ASSESSMENT ONLINE APPLICATION FOR REVIEW
	* indicates required field

APPLICATION MUST BE SUBMITTED NO LATER THAN MIDNIGHT, March 4, 2019

*THE INSTRUCTIONS FOR SUBMITTING AND PRINTING THIS APPLICATION ARE AT THE BOTTOM OF THE PAGE.
* APPLICATION MUST BE COMPLETED IN ITS ENTIRETY FOR CONSIDERATION
* A SEPARATE APPLICATION MUST BE USED FOR EACH PARCEL
* APPLICATION MUST BE SUBMITTED BY OWNER (AND AGENT/REPRESENTATIVE IF ONE IS USED) OF RECORD AS OF JAN. 1, 2019
* IF OWNER HAS DESIGNATED AN AUTHORIZED AGENT OR REPRESENTATIVE, A LETTER OF AUTHORIZATION MUST BE COMPLETED
* INCOME AND EXPENSE INFORMATION WILL NOT BE CONSIDERED IF NOT PROVIDED VIA THE LOUDOUN COUNTY INCOME AND EXPENSE SURVEY WHEN REQUESTED PER THE CODE OF VIRGINIA, 58.1 - 3294
* PLEASE SUBMIT YOUR APPLICATION ONLY ONCE - YOU WILL BE NOTIFIED BY EMAIL WHEN IT HAS BEEN RECEIVED
* THE LETTER OF AUTHORIZATION MAY BE SUBMITTED ELECTRONICALLY WITH THIS APPLICATION.
* APPLICATIONS FOR COMMERCIAL/INDUSTRIAL PROPERTIES MUST BE SUBMITTED ONLINE WITH ALL ACCOMPANYING DOCUMENTATION.

PARCEL INFORMATION

Please enter the 12 digit PIN, without dashes, for your property. This will allow other information to be filled in automatically. Please complete any blank spaces to the best of your ability.
*PIN (without dashes): *Tax map Number:
*Group Number: *Mag District:

OWNER INFORMATION

*Owner(s) Name(s):
Name Of Person(s) To Contact:
*Property Address:
*Owner Mailing Address:	please check if it has changed, and enter new mailing address below

*Email Address:
*Daytime Phone: Secondary Phone: Cell Phone:
*Site Inspection Requested: YESNO

2019 ASSESSMENT INFORMATION

PURCHASE INFORMATION

*Land Value: $.00 (no comma & decimal)

*Improvement Value: $.00

*Total Value: $.00

Date of Sale: (dd-MMM-yyyy)
*Purchase Price: $.00
*Type of Sale: MARKETDISTRESSED

MORTGAGE/LOAN INFORMATION

Mortgage/Loan Date: Mortgage/Loan Interest Rate: % Appraised Value: $.00	Mortgage/Loan Amount: $.00 Most Recent Appraisal Date: Appraiser Name:
(Please provide a copy of the appraisal if it is less than 12 months old.)

OWNER'S OPINION OF VALUE

*Reason for Review: Check only those boxes that apply.
Market ValueEquityIncorrect Property Data\Other (i.e. square feet\income value)
(All detailed evidence must be submitted with the application to support any contention checked above)

Market Value- Comparison of recent sales of properties similar to yours. Comparables should be similar in living area, age, acreage and amenities. This is the comparison of the sale price.
Equity- Comparison of properties in close proximity to yours that have similar features i.e. living area, age, acreage and amenities. This is the comparison of the assessed value.

Your estimate of the Fair Market Value:
*Land $.00 *Building(s) $.00 *Total $

* (Required for form submission) I have reviewed my property characteristics for accuracy, ie; House/Building Size, Year Built, # of Baths, Out Buildings, Decks / Patios, etc.

*I agree that the property characteristics shown by the county are accurate. If not accurate, please describe any discrepancies in the remarks section or attached documentation. YESNO

If your house/building has a basement, please indicate how much of the total basement area is finished.
Unfinished1/4 finished1/2 finished3/4 finishedFully finishedNo basement

ADDITIONAL COMMERCIAL DATA

This Section Is Not Applicable

Gross Rentable Area: square Feet; Gross Building Area: square Feet
(Please provide a copy of your leasing plan)

*Is the property owner represented by an agent/representative? YESNO

Stop, make sure you have filled in all data fields prior to uploading documents. If you receive an error message because fields were incomplete, you will need to re-upload your documents.
Choose # of supporting documents to upload if you have any?
(only allow .docx, .doc, .xlsx, .xls, .txt, .pdf, .jpg files, maximum 2MB of each file. Please check your files before upload. If you have files that are too large to attach, please submit your application online and send the files separately, referencing the Parcel Identification Number (PIN). Email (preferred) to: realestate@loudoun.gov Mail to: PO Box 8000, MSC 32B. Leesburg, VA. 20177-9804)

APPLICANT REMARKS (Maximum input is 800 characters)

The application can not be processed until all required fields are completed.

Click here to submit your application. Once you have submitted the form successfully, a printable version of your online application will be sent to the email address provided above by the applicant.

Additional applications may be submitted once the initial online application is submitted. You will be able to click on the "Additional Application" button and your owner contact information will carry forward from the first application.

Property owners have the right to review and obtain copies of all assessment records pertaining to the assessing officer’s determination of fair market value of their real property, and the right to request a physical examination of such property.
(In accordance with Code of Virginia §58.1-3331.)

THIS FORM WILL NOT BE ACCEPTED IF MAILED IN.

Mail in forms are available at the Office of the Commissioner of the Revenue and at Loudoun County Public Libraries, Community Centers and Senior Centers.