Board of Assessment Appeals Application - Motor Vehicle

Applications may be sent to: 
Motor Vehicle Board of Assessment Appeals 
Pursuant to P.A.95-283, of the State of Connecticut, an  
application to appeal an assessment must be filed: 
on or before August 30th, 2024.
All sections must be completed.  The board 
Board of Assessment Appeals 
of Assessment Appeals does not have to give a hearing 
15 Rope Ferry Road 
date to incomplete applications.  Please print or type. 
Waterford, CT 06385 
Application to Appeal
 
 
 
 
 
 
 
 
 
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:______________ 
     Copies:1. Board of Assessment Appeals   2.Assessor  3.Appellant–Board of Assessment Appeals Summary 4.Appellant hearing date 
Property Owner: 
Name 
Address 
City/State/Zip 
Appellant: 
Name 
Address 
City/State/Zip 
Correspondence & Contact: 
Name 
Address 
City/State/Zip 
Phone No. 
Email Address 
Grand List of: 2023
List No.: 
Property Description: 
Make 
Year 
Model 
VIN 
Reason for Appeal: 
Appellant’s estimate of value: 
(attach documentation of value, if applicable)
Signature of Property owner or duly authorized agent (attach evidence of authorization) 
Date 
Board of Assessment Appeals has: 
Date 
Time 
Place 
Scheduled an appointment as follows: