• b.___
• (Add additional paragraphs on separate sheets, as necessary, to include all legal bases for appeal)
• Appellant(s) is/are aggrieved by the decision of the Adams County Board of Assessment Appeals, and seek a hearing de novo, as permitted by the Consolidated County Assessment Law. 53 Pa. C.S. §8854.

WHEREFORE, Appellant(s) request(s) that this Court allow this appeal and make such other orders and decrees as shall be just and proper.

(Name and signature of Appellant(s), Or Attorney for Appellant(s))

VERIFICATION

/ hereby verifies that the statements made in the (Name of Appellant or Attorney)

attached Notice of Appeal are true and correct, and understands that false statements made herein are subject to the penalties of 18 Pa. C.S. §4905 relating to unsworn falsification to authorities.

Date: _____

(Name and signature of Appellant(s) or Attorney for Appellant(s))