COMPLAINT FOR REVIEW OF ASSESSMENT State Tax Commission of Missouri P.O. Box 146, Jefferson City, Missouri 65102-0146 TYPE OR PRINT Taxpayer’s Name: REAL PROPERTY Street Address of Property: City: Locator or Parcel Number of the Property: County in Which the Property is Located: Current Classification of the Property: Agricultural State: Residential Commercial Zip Code: Mixed-Use If the property is an apartment building, condominium, vacant lot or subsidized housing, please indicate: Value set by the Assessor True Value (Market) Assessed Value Value set by the Board of Equalization True Value (Market) Assessed Value Taxpayer’s Proposed Value True Value (Market) Assessed Value Value of the property is generally an issue in every appeal. If you believe the assessment is incorrect on other grounds, you must indicate those grounds by checking the appropriate boxes. Check all that apply. If you do not specify any other ground, this complaint will be reviewed only for overvaluation. Discrimination Misgraded Agricultural Land Exemption – the property should be exempt because it is: Religious Charitable Educational Other (explain) Misclassification – the proper classification of this property should be: Residential Agricultural Commercial Mixed-Use Other (explain): A COPY OF THE BOARD OF EQUALIZATION DECISION MUST BE ATTACHED TO THIS FORM. Please note: Only the taxpayer or his attorney may sign this Complaint. Missouri law requires attorney representation for all corporations, partnerships, trusts and other legal entities which are not natural persons. There are no exceptions. Taxpayer or Attorney Signature – Please Print then Sign: Daytime Telephone (with Area Code) : DO NOT WRITE IN THIS SPACE Bar Number: E-Mail Address Mailing Address (Street/Box Number) City Mo 870-0055 (07/2011) State STC FORM 103 (07/2011) American LegalNet, Inc. www.FormsWorkFlow.com