TX App - Kansas.gov

BEFORE THE BOARD OF TAX APPEALS OF THE STATE OF kansas TAX EXEMPTION ( 79-213) APPLICANT: _____ Applicant Name (Owner of Record) _____ Applicant Address (Street or Box No.) _____ City State Zip Applicant Phone #:(____)_____ Applicant E-mail: _____ ATTORNEY OR REPRESENTATIVE: (If applicable)* _____ Representative Name Title _____ Representative Address _____ City State Zip Atty/Rep Phone #:(_____)_____ Representative E-mail:_____ Taxing County:_____ Year/Years at issue: _____ Property at issue: Real Property---Street address, city:_____ Personal Property---Description: _____ BTA-TX (Rev. 7/14) (For State of kansas use only) DOCKET Fee:_____ Amt Rec. _____ Rec. Date:_____ Ck #_____ No Fee:_____ Reason: _____ (For County use only) Parcel ID #/Personal Property ID # or Vehicle ID #: _____ _____ _____ County s valuation: $_____ LBCS Function Code: _____ Tax Exemption Application Page 2 of 5 1.

Tax Exemption Application Page 2 of 5 1. Real Property—For real property, provide a description of all improvements, and attach a copy of the deed.

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