Form 3107.A Appeal To Louisiana Tax Commission by Taxpayer for Insurance Assessments | LA Tax Commission P.O. Box 66788 Baton Rouge, LA 70896 (225) 219-0339 |
Name:________________________ Parish/District:___________________
Taxpayer
Address:_______________________ City, State, Zip: _________________
Address or Legal Description of Property Being Appealed
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The Fair Market Value of the Administrative Section of the Louisiana Tax Commission is:$___________________
I am requesting that the Fair Market Value be fixed at: $________________
Appellant:
Address: __________________________________________________
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______________________________________________________________________
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Telephone No.: _____________________________________________
Date: _____________________________________________________
Email Address: _____________________________________________
La. Admin. Code tit. 61, § V-3107