LTC Docket No._________________________
Form 3106.A Appeal to Louisiana Tax Commission by Taxpayer for Bank Stock 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
______________________________________________________________________
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: $______________
Applicant:
Address: __________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Telephone No.: _____________________________________________
Date: _____________________________________________________
Email Address: _____________________________________________
La. Admin. Code tit. 61, § V-3106