2022 Waiver ULF personal property Important--to ensure this form works properly,
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Request for Waiver of Board of Review (BOR) Hearing
Section 70.47(8m),Wis.Stats.,states,"The board may,at the request of the taxpayer or assessor,or at its own discretion,waive the hearing
of an objection under sub.(8)or,in a 1`t class city,under sub.(16)and allow the taxpayer to have the taxpayer's assessment reviewed under
sub. (13). For purposes of this subsection,the board shall submit the notice of decision under sub.(12) using the amount of the taxpayer's
assessment as the finalized amount.For purposes of this subsection,if the board waives the hearing,the waiver disallows the taxpayer's claim
on excessive assessment under sec.74.37(3)and notwithstanding the time period under sec.74.37(3)(d),the taxpayer has 60 days from the
notice of hearing waiver in which to commence an action under sec.74.37(3)(d)."
NOTE: The legal requirements of the Notice of Intent to Appear must be satisfied and the Objection Form must be completed and
submitted as required by law prior to the Request for Waiver of Board of Review Hearing being submitted.
NOTE: Request for Waiver must be presented prior to the commencement of the hearing.
Municipality County
City of Janesville Rock
Requestor's name Agent name(if applicable)*
ULF Janesville,LLC
Daniel P. Deveny,Attorney at Law
Requestor's mailing address Agent's mailing address
4298 Capital Circle Fredrikson & Byron, P.A., 200 S. Sixth St., Suite 4000
Requestor's telephone number ® Land Line Agent's telephone number ® Land Line
( 218 ) 879 - 1265 ❑ Cell Phone ( 612 ) 492 - 7486 ❑ Cell Phone
Requestor's email address Agent's email address
jjames@ulfoods.com ddeveny@fredlaw.com
Property address
4298 Capital Circle
Legal description or parcel number
7900016395
Taxpayer's assessment as established by assessor-Value as determined due to waiving of BOR hearing
$ 896,800
Property owner's opinion of value
$ 400,000
Basis for request
Leasehold improvements taxed as real estate;assessed value exceeds true market value of assessable property;assessment for 2019,2020 and 2021 still under review.
Date Notice of Intent to Appear at BOR was given Date Objection Form was completed and submitted
05 - 20 - 2022 05 - 20 - 2022
All parties to the hearing understand that in granting of this waiver there can be no appeal to the Department of Revenue under sec.70.85,
Wis.Stats.An action under sec.70.47(13),Wis.Stats., must be commenced within 90 days of the receipt of the notice of the waiving of the
hearing.An action under sec.74.37(3)(d),Wis.Stats.,must be commenced with 60 days of the receipt of the notice of the waiving of the hearing.
Requestor's/Agent's Signature
*If agent,attach signed Agent Authorization Form,PA-105
De 'sion
►/ Approved Denied
Reason
Board o Review Chairperson's Signat Dgte
�axpayeradvised IZSIZZ
Date
PA-813(R.10-16) Wisconsin Department of Revenue