Tax Court of New Jersey Case Information Statement Correction of Error in Assessment (CIS-C/E) INSTRUCTIONS: To be attached to face of complaint (type or print) Attorney Name (List your information if you are not represented by an attorney) Street City State Zip Telephone Number NOTE: In order to proceed in the Small Claims Division, the property at issue must be a class 2 property (1-4 family residence) or a class 3A farm residence or prior year's taxes were less than $25,000. See Rule 8:11-(2). Check for Small Claims Division Filing Fee Submitted $ Check / other Attorney Charge Account # Part A. Fill in the following: 1. Plaintiff 2. County 3. Assessment year(s) in contest 4. Property Address 5. Property Type (check one) Industrial 1-4 Family Residence (class 2) Farm Residence (class 3A) Commercial 6. Is plaintiff the Owner 7. Type of error (check one) Typographical Tenant Other Block Defendant Lot Unit Vacant Land Multi-Unit Residential (over 4 Units) Farmland Other Transposition Other 8. Is any action pending before the Tax Court for above property for a prior year(s)? Yes No Year(s) 9. Is the Verified Affidavit complete and attached to complaint? Yes No Revised 09/01/2010, CN 10334-English, (CIS-C/E) page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Do you or your client have any needs under the Americans with Disabilities Act? If yes, please identify any requirements or accommodations you may require Yes No Will an interpreter be needed? Yes No If yes, for what language PLEASE NOTE: Only an interpreter registered with the Administrative Office of the Courts may be used during a court proceeding. I certify that confidential personal identifiers have been redacted from documents now submitted to the court, and will be redacted from all documents submitted in the future in accordance with Rule 1:38-7(b). Dated: _____________________ Signed: _______________________________________________ Make checks payable to: Treasurer, State of New Jersey Mailing address: Tax Court Management Office, P.O. Box 972, Trenton, NJ 08625-0972 Revised 09/01/2010, CN 10334-English, (C/E-CIS) page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com