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Loudoun County Vehicle Personal Property Assessment Appeal Form Robert S. Wertz, Jr. Commissioner of the Revenue (703) 777-0260 Fax (703) 777-0263 P.O. Box 8000, MSC 32A Leesburg, VA 20177-9804 www.loudoun.gov/cor Account Tax Year Being Appealed: Vehicle Mileage as of Jan 1 of the Tax Year Being Appealed: Taxpayer's Opinion of the Property Value as of Jan 1 of the Tax Year: Owner Name: FEIN/SSN: Daytime Phone: Address: City: State: Zip: Make: Model: Body Style sedan, SUV): # of Cylinders V4): Year: VIN: # of Doors: Drive Train: 2WD 4WD AWD Transmission: Automatic Manual Title Tag Trim Level XLE): Gross Weight: lbs. Fuel: Gasoline Diesel Clean/Special Appeal Basis: The assessment does not take into consideration the vehicle's unusually high mileage on January 1 of the tax year being appealed. I have attached a copy of a state vehicle safety inspection certificate, vehicle repair document or other similar documentation which clearly identifies the vehicle and mileage on or prior to January 1 of the tax year being appealed. The assessment does not take into consideration extensive unrepaired body damage or serious unrepaired mechanical defects that existed on January 1 of the tax year being appealed. I have attached a detailed damage and repair estimate written by an insurance adjustor, auto appraiser, or auto repair facility on business letterhead which clearly identifies the vehicle and includes the name, address, phone number and signature of the adjustor or appraiser. I have also included each devaluing condition excessive rust, body damage, missing engine) and its associated amount which reduced the vehicle's value below the clean loan value listed in the January 1 J.D. Power Guide. The fair market value is below the "clean loan value" published in the January 1, Eastern Edition J.D. Power Official Used Car Guide or the January 1, National Edition J.D. Power Official Older Car Guide for like vehicles and I have attached detailed documentation supporting this value including proof of original cost. Original cost excludes credits for trade-ins or other transactions of such nature. The fair market value is below 75% of the Manufacturer's Suggested Retail Price (MSRP) for prior model year vehicles not listed in the J.D. Power guide and I have attached detailed documentation supporting this value including proof of original cost. Original cost excludes credits for trade-ins or other transactions of such nature. The fair market value is below 90% of the MSRP as listed in the New Car Cost Guide for current model year vehicles not listed in the J.D. Power guide and I have attached detailed documentation supporting this value including proof of original cost. Original cost excludes credits for trade-ins or other transactions of such nature. The fair market value is below 100% of the cost as reported to the Department of Motor Vehicles (DMV) for subsequent model year vehicles not listed in the J.D. Power guide and I have attached detailed documentation supporting this value including proof of original cost. Original cost excludes credits for trade-ins or other transactions of such nature. I declare that this information is true, full, and correct to the best of my knowledge and belief, and I understand that the filing of this appeal does not ensure that my assessment will be lowered. Signature Printed Name Date Please complete and submit this form along with any necessary documentation to the mailing address or fax number above. PPAppeal.pdf 10/13/23 Print Form