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First name

Last name

Company (if any)

Email

Phone Number

Mailing Address

Plat-Lot or Act Number (if known)

Property Location

Anything else we should know? (property details, past appeals, whatever you think may be important)

I AGREE TO THE BELOW TERMS

AGREEMENT:

PROPERTY TAX EQUITY WILL REPRESENT ME TO LOWER MY PROPERTY TAXES. WITHIN 60 DAYS OF RECIEVING A REVISED TAX NOTICE FROM THE CITY, I AGREE TO PAY THE AGREED UPON ONE TIME FEE.

STATEMENT OF AUTHORIZATION:

I hereby authorize Property Tax Equity to represent me in appealing my 2025 Taxes with the City of Providence, Rhode Island.

Signature

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