24GL BAA-application Extended session HB7067

Board of Assessment Appeals 
Pursuant to §12-111 & §12-117 of the State of Connecticut for 
House Bill 7067  
an application to appeal an assessment must be filed: 
on or before April  2, 2025. 
All sections must be completed to be given a hearing. 
  
 
 
Applications may be sent to: 
 
Board of Assessment Appeals 
15 Rope Ferry Road 
Waterford, CT 06385 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Board of Assessment Appeals has: 
Date 
Time 
Place 
Scheduled an appointment as follows: 
Appeal Summary 
 
 
 
Assessments 
Grand List 
Board of Assessment Appeals 
Land 
  
 
  
 
Building 
  
 
  
 
Miscellaneous 
  
 
  
 
Total 
  
 
  
 
Motor Vehicle 
  
 
  
 
Personal Property 
  
 
  
 
Board of Assessment Appeals: (signatures) 
 
X 
X 
 
X 
 Date of Board’s Decision: 
 
This form must be filed in the Assessor’s Office by April 2, 2025 
 
Property Owner: 
 
Name 
Address 
City/State/Zip 
Grand List of: 2024 GL 
List No.: 
 
Property Description: 
 
   Please Check Type of Appeal 
Appeal Type:   
   
Motor Vehicle:_______ 
 
MV Description:__________________________________ 
100%  P&T Disabled Veteran:   
 
Appellant: 
 
Name 
Address 
City/State/Zip 
Reason for Appeal: 
Correspondence & Contact: 
Name 
Address 
City/State/Zip 
Phone No. 
 
Appellant’s estimate of value: 
 
(attach documentation of value, if applicable) 
Signature of Property owner or duly authorized agent(attach evidence of authorization) 
Date