State Prescribed Forms

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Form Name/Description Statute Current Revision Date Prior Revision Date Use Status
PA-003 Statement of Personal Property | Excel Worksheet | Fillable PDF s. 70.35 (2) R. 11-14 R. 10-13 Destroy-Annual Change
PA-016 Cable TV Systems Annual Property Report s. 70.35 (2) R. 9-14 R. 09-13 Destroy-Annual Change
PA-107 Board of Review Member Training Affidavit s. 70.46 (4) R. 09-06 R. 04-05 Electronic File Only
PA-115A Objection Form for Real Property Assessment| Fillable PDF s. 70.47 (7) R. 11-09 R. 11-02 Destroy Prior-Major Change
PA-115B Objection Form for Personal Property Assessment | Fillable PDF s. 70.47 (7) R. 11-02 R. 10-99 Use Prior-Minor Change
PA-117 Manufactured & Mobile Home Valuation Worksheet s. 66.058 R. 10-07 R. 09-05 Destroy Prior
PA-118 Statement of Manufactured & Mobile Home Monthly Municipal Permit Fee | Fillable PDF s. 66.058 R. 10-07 R. 05-05 Destroy Prior
PA-500 Residential Property Record s. 70.09 (3) R. 10-04 R. 09-03 Use Prior-Minor Change
PA-501 Residential Property Record Insert s. 70.09 (3) R. 11-02 R. 10-01 Use Prior-Minor Change
PA-703 Agricultural Work Card s. 70.09 (3) R. 10-01 R. 08-82 Destroy Prior-Major Change
PA-704 Property Assessment History s. 70.09 (3) R. 10-04 R. 09-03 Use Prior-Minor Change
PA-800 Summary of Board of Review Proceedings s.70.47 (17) R. 1-15 R. 10-12 Use Prior
PA-811 Summary of Waiver of Board of Review Request s.70.47(8m) N. 1-15 New New
PA-813 Request for Waiver of Board of Review (BOR) Hearing| Fillable PDF s.70.47(8M) N. 1-15 New New
PA-814 Request to Testify by Telephone or Submit a Sworn Written Statement at the Board of Review (BOR) | Fillable PDF s.70.47(8) N. 1-15 New New
PC-227 Unrelated Business Income Report s. 70.339 R. 08-95 R. 10-91 Destroy Prior-Major Change
PE-106 Fixed Asset Schedule | Fillable PDF -- R. 10-14 R. 09-13 Destroy-Annual Change
PR-130 Summary of Open Book Actions | Fillable PDF -- N. 12-11 -- New
PR-230 Property Tax Exemption Request | Fillable PDF s. 70.11
s. 70.111
R. 10-14 R. 12-12 Use Prior-Minor Change
PR-231 Low Income Property Owner's Certification of Occupancy s. 70.11 (4a)(g)1 R. 05-10 N. 10-09 Fillable Form-Minor Change
PR-297 Notice of Amended Assessment and Waiver s. 74.485 N. 04-08 -- New
PR-298 Agricultural Land Conversion Charge s. 74.485 R. 02-11 N. 04-08 Use Prior-Minor Change
PR-299 Notice of Personal Property Assessment s. 70.365 R. 10-07 R. 10-04 Use Prior-Minor Change
PR-301 Notice of Changed Assessment s. 70.365 R. 5-14 -- Destroy Prior
PR-302 Notice of Board of Review Determination s. 70.47 (12) R. 11-07 R. 06-03 Destroy Prior-Major Change
PR-303 Request for Exemption of Renewable Energy System s. 70.111 (18) R. 10-99 R. 08-95 Destroy Prior
PR-307 Notice of Change in Exempt Computer Equipment s. 70.11 (39) R. 09-03 R. 11-02 Use Prior-Minor Change
PR-323 Gross Annual Property Expenses Report |Fillable PDF s. 70.47 (7)(af) N. 09-00 -- New
PR-324 Agricultural Use Value Information Request | Word Document Merge | Excel Variables s. 70.32 N. 10-09 -- New

April 13, 2015