JEFFERSON PARISH ASSESSOR’S OFFICE
ASSESSMENT APPEAL FORM LAT 3
APARTMENTS
______________________________________________________________________
TO BE COMPLETED BY ASSESSOR’S OFFICE
WARD/PARCEL: ____________________________ RECEIVED BY: _____________________________
ASSESSOR’S OFFICE EMPLOYEE
DATE RECEIVED: __________________________
TO BE COMPLETED BY APPEALANT
SECTION 1 - INSTRUCTIONS
Before proceeding with this form, please read the following statements:
The Jefferson Parish Assessor’s Office has its rolls open for public inspection for fifteen calendar days no earlier than August 1
st
and
no later than September 15
th
each year (R.S.47:1992.1). This is the time for you to request a review of your property assessment.
After the inspection period concludes, no assessment changes can be made.
If you are not the owner of this property, please attach a completed Tax Authorization Form along with the requested information
below.
Please remember, you must submit sufficient documentation to the Assessor to prove that your assessment may be incorrect. Keep in
mind that even though a review of your assessment may be conducted, there is no guarantee that the Assessor will agree to a
reassessment of your property. If there is more than one property to be reviewed, a separate form must be completed for each
property.
Attached to this form is an additional form that must also be completed and sent to the Assessor’s Office along with the other required
information as outlined below.
All information requested on this form must be provided when this form is submitted to the Assessor’s office. An incomplete appeal
form will be denied.
SECTION 2. OWNER INFORMATION
PLEASE PRINT
Owners Name: ________________________________________________________________
Mailing Address: _______________________________________________________________
____________________________________________________________________________
Phone(s):____________________________________________________________________
SECTION 3. PROPERTY YOU ARE APPEALING
Name of owner as it appears on assessment roll: ____________________________________
___________________________________________________________________________
Address of property being appealed: ______________________________________________
In support of my appeal, along with this form, I have attached the following:
Appraisal: ____ Photos: ____, Letter of Explanation: ___, Estimates of Repairs if damaged ___
Other: _______ (please specify) _______________________________________________
NOTE) In all photos, the subject property must be clearly visible and must include the entire structure as it appears from
the street. Additionally, if providing interior photos of damages, these photos must include the entire room where the damage
has occurred. No Xerox photos will be accepted.
Additionally, please attach to this form detailed separate income and expense statements for this property for each of the immediately
preceding two (2) calendar years.
Lastly, please list the occupancy rate of this property over the last preceding two (2) years.
(1.) Year 20__ - Occupancy ___________% - (2.) Year 20__ - Occupancy __________%
Please provide below a brief summary of why you feel that your assessment may not be correct:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________.
Based on the information I have provided to the Jefferson Parish Assessor’s Office, I believe that the Fair Market Value of this
property is $_______________.
I understand that failure to provide the information requested herein accurately and correctly invalidates this appeal.
___________________________________ ____________________________________
Signature of Owner Date
OR
___________________________________ ____________________________________
Signature of Authorized Agent to Represent Date
LAT 3 REAL PROPERTY TAX REPORT APARTMENT YEAR
RETURN TO:
THOMAS J. CAPELLA
ASSESSOR, JEFFERSON PARISH
200 Derbigny Street, Suite 1100
Gretna, LA 70053
FOR ASSESSOR’S USE ONLY
WARD
ASSESSMENT NO.
Permit# Item#
Person to contact and Phone No.
NAME/ADDRESS
Property Address
LEGAL DESCRIPTION, IF KNOWN
CHECK OR FILL IN THE APPROPRIATE SPACES USE ATTACHMENTS IF NEEDED
SECTION 1. LAND DATA
DIMENSIONS: FRONT ________x________x________x________ COST IF PURCHASED AS VACANT LAND: $___________________________
DATE OF PURCHASE: _______________ ZONING _______________ CHECK ONE: CORNER LOT INSIDE LOT
SECTION 2. BUILDING DATA (ATTACH RECENT PHOTOGRAPH OF BUILDING)
YEAR BUILT: _____________
AGE: __________ DATE OF ACQUISITON: __________ COST OF CONSTRUCTION: _____________ AMT. OF INSURANCE: ____________
1. QUALITY
LOW
FAIR
AVERAGE
GOOD
VERY GOOD
2. CONDITION
LOW
FAIR
AVERAGE
GOOD
VERY GOOD
3. STYLE
NO. OF STORIES_______
SPLIT LEVEL
1 ½ STORY
FINISHED
4. BASIC
STRUCTURE
STEEL FRAME
WOOD FRAME
REINFORCED
CONCRETE
OTHER
5. EXTERIOR WALL
STUCCO
SIDING, SHINGLE OR
METAL
BRICK VENEER
COMMON BRICK
FIRE BRICK
CONCRETE BLOCK
6. FOUNDATION
PIERS
CONCRETE SLAB
RUNNING PIERS
9. PLUMBING
NO. OF FIXTURES______________
NO. OF ROUGH-INS_____________
TUB ENCLOSURES_____________
10. FLOOR COVERING
CARPET________________%
HARDWOOD____________%
VINYL ASBESTOS________%
FANCY STONE___________%
7. SWIMMING POOL
HEATER
CHLORINATOR
11. BUILT-IN APPLIANCES
BUILT IN RANGE ELECTRIC MICRO-WAVE OVEN ELECTRIC
DROP IN RANGE OVEN GAS DROP IN RANGE OVEN ELECTRIC
BUILT IN RANGE OVEN GAS DISPOSAL
12. EXTRA FEATURES
ELEVATOR LOAD OTHER_____________
UTILITY ROOM ___________________
OUT BUILDING ___________________
CONFIDENTIAL: RS 47:2327. Forms filed by a taxpayer shall be
used by the assessor, the governing authority,
and Louisiana Tax Commission solely for the
purpose of administering this statute.
Legal Citation & Instructions: This report shall be filed with the
assessor of the parish indicated within forty-five days after receipt,
in accordance with RS 47:2324.
PLEASE MAKE COPY FOR YOUR RECORDS
ADDITIONAL INFORMATION ON BACK
(OVER)
13. APARTMENTS
NO. OF EFFICIENCY__________ __RENTAL OF EACH____________ NO. OF APT. BUILDINGS______________ SIZE__________x__________
NO. OF ONE BEDROOM__________RENTAL OF EACH____________ NO. OF CLUB HOUSES_______________ SIZE__________x__________
NO. OF TWO BEDROOM__________RENTAL OF EACH____________ NO. OF LAUNDRY BUILDINGS_________ SIZE__________x__________
NO. OF THREE BEDROOM________RENTAL OF EACH____________ NO. OF SWIMMING POOLS____________ SIZE__________x__________
NO. OF FOUR BEDROOM_________RENTAL OF EACH____________ NO. OF OTHERS_____________________ SIZE__________x__________
EXPLAIN__________________________________ SIZE__________x__________, EXPLAIN__________________________________ SIZE__________x__________
TOTAL FLOOR _________________________________SQUARE FEET
14. PARKING
PARKING SPACES:____________________ OPEN:____________________ COVERED:____________________
15.
INCOME:_____________________ ANNUAL:_____________________ MONTHLY:_____________________ VACANCIES AT THIS TIME:______________________
16.
RENTALS INCLUDE: UTILITIES FURNITURE OTHER:_________________________________________________________________
ATTACH RECENT PHOTOGRAPH OF BUILDING
SIGNATURE AND VERIFICATION
I declare that under the penalties for filing false reports that this return has been examined by me to the best of my knowledge and belief is a true,
correct and complete return. If the return is prepared by other than the taxpayer, his declaration is based on all the information relating to the matters
required to be reported in the return of which he has knowledge.
_______________________________________________ ____________________
Signature of Taxpayer Date
Phone Number Contact: _____________________________________