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Revised Form Promulgated by 07/01/2019 Notice to the Bar, CN 11004-Spanish page 1 of 3 Formulario revisado promulgado el 01 de julio de 2019 mediante un Aviso al Colegio de Abogados , CN 11004-Spanish página 1 de 3
AVISO : Este es un documento público, lo cual significa que el documento tal como se envíe estará a la disposición del público
cuando se solicite. Por lo tanto, no anote en el mismo ningún identificador personal, como por ejemplo: el número de Seguridad
Social, el número de la licencia de conducir, el número de la matrícula del vehículo, el número de la póliza del seguro, el n úmero de
una cuenta financiera activa, o el número de una t arjeta de crédito activa.
Tax Court of New Jersey
Tribunal de Asuntos Tributarios de Nueva Jersey
Case Information Statement (CIS-LP)
Declaración Informativa del Caso (CIS -LP)
Instructions: To be attached to face of complaint (type or print) Instrucciones: Para adjuntar al frente de la demanda (Escriba a máquina o con letra de imprenta)
Attorney Name ( List your information if you are not represented by an attorney) Attorney ID Number Nombre y apellido del abogado (Escriba su información si no lo representa un abogado) El número de identificación del abogado
Street E-mail Address Dirección Dirección del correo electrónico
City State Zip Telephone Number Ciudad Estado Código Postal Número de teléfono
Part A. Please check one of the following case types and the filing fee
Parte A. Marque uno de los siguientes tipos de caso y la tasa judicial de presentación
Direct Appeal Added or Omitted Assessment Apelación directa Tasación adicional u omitida
Appeal from County Tax Board Judgment Farmland Qualification Apelación del fallo de la Junta Impositiva del Condado Calificación como terreno agrícola
Correction of Error Farmland Rollback Corrección de un error Revocación de calificación como terreno agrícola
Exemption Other Exención Otro
NOTE : In order to proceed in the Small Claims Division, the property at issue must be a class 2 property (1-4 family residence) or a
class 3A farm residence or prior year’s taxes were less than $25,000. See Rule 8:11-(2).
NOTA: A fin de proceder en la División de Reclamaciones de Menor Cuantía, el inmueble en cuestión debe ser uno de la clase 2 ( residencia
de 1 a 4 familias) o una residencia de una granja de clase 3A o los impuestos del año anterior fueron de menos de $25,000. Véase la
Regla 8:11-(2).
Check for Small Claims Division Marque para la División de Reclamaciones de Menor Cuantía
Filing Fee Submitted Check / other Attorney Charge Account Number Tasa judicial pagada Cheque / otro Número de la cuenta abierta del abogado
$
Part B. Fill in the following for all cases
Parte B. llene lo siguiente para todas las causas
1. Plaintiff Defendant Demandante Demandado
2. County Block Lot Unit Condado Cuadra Lote Unidad
3. Assessment year(s) in contest Año de tasación que se disputa
4. Property Address Dirección del inmueble
Revised Form Promulgated by 07/01/2019 Notice to the Bar, CN 11004-Spanish page 2 of 3 Formulario revisado promulgado el 01 de julio de 2019 mediante un Aviso al Colegio de Abogados , CN 11004-Spanish página 2 de 3
5. Property Type (check one) Tipo de inmueble (marque uno)
1 -4 Family Residence (class 2) Business Personal Property Percentage
Residencia de 1 a 4 familias (clase 2) Propiedad personal de negocio Porcentaje
Casino Commercial Casino Comercial
Condominium Farm Residence (class 3A) Condominio Residencia de una granja (clase 3A)
Farmland Hotel Terreno agrícola Hotel
Industrial Multi -Unit Residential (over 4 Units) Industrial Residencial de unidades múltiples (más de 4 unidades)
Nursing Home Pipeline Hogar de ancianos Oleoducto
Senior Citizen/Veteran Deduction Tax Exempt Deducción de veteranos/personas de la tercera edad Exento de impuestos
Vacant Land Vacant land used as part of a 1 -4 family residence Terreno baldío Terreno baldío usado como parte de una residencia de 1 -4 familias
Other Otro
6. Is plaintiff the ¿Es el/la demandante el
Owner Tenant Contract Purchaser Propietario Inquilino Comprador bajo contrato
Court Appointed Rent Receiver Municipality Other Receptor de alquiler designado por el tribunal Municipalidad Otro
7. Is an exemption claimed? ¿Se reclama una exención ?
Yes/ Sí No/ No Type/ Tipo
If more than one assessed property is included in the complaint, are they contiguous and in common ownership? Si más de un inmueble tasado se incluye en la demanda, ¿son contiguos y de propiedad común?
Yes/ Sí No/ No
Attach individual Case Information Statements for each separately assessed parcel. If multiple condominium units, attach the
Condominium / Multiple Assessment Schedule.
Adjunte una Declaración Informativa individua del Caso para cada lote tasado por separado. Si son unidades múltiples de un condominio, adjunte la Lista de tasación de condominio/múltiple.
Part C. Fill in the following for all Case Types except Farmland Rollback
Parte C. Llene lo siguiente para todos los tipos de caso, excepto para la reducción como terreno agrícola
Assessment for the year set forth in No. 3 above Tasación del año indicado en el número 3 de más arriba
Original Assessment County Tax Board Assessment Tasación original Tasación de la Junta Impositiva del Condado
Land/ Terreno $ Land/ Terreno $
Improvements/ Mejoras $ Improvements/ Mejoras $
Exemption/ Exención $ Exemption/ Exención $
Total/ Total $ Total/T otal $
Part D. Fill in the following only for Farmland Rollback
Parte D. Llene lo siguiente solamente para una reducción como terreno agrícola
Year Non Qualified Assessed Value Qualified Assessed Value Assessment Subject to Rollback Añ o Valor tasado no calificado Valor tasado calificado Tasación sujeta a reducción
$ $ $
$ $ $
$ $ $
Revised Form Promulgated by 07/01/2019 Notice to the Bar, CN 11004-Spanish page 3 of 3 Formulario revisado promulgado el 01 de julio de 2019 mediante un Aviso al Colegio de Abogados , CN 11004-Spanish página 3 de 3
Part E. Fill in the following:
Note: For Direct Appeals - The total assessment must be over $750,000 to qualify. The Improvement total for Part E
should be the Original Improvement* and the added, omitted or omitted/added assessment for 12 months, not the prorated
assessment . See Court Rule 8:2(c).
Parte E. Llene lo siguiente:
Nota: Para las apelaciones directas – L a tasación total tiene que ser de más de $750,000 para que reúna las condiciones
necesarias. El total de las mejoras para la Parte E debe ser el de las mejoras originales* y las tasaciones añadidas,
omitidas , u omitidas/añadidas durante 12 meses, no el de la tasación prorrateada. Véase la Regla del Tribunal 8:2(c).
For Added Assessment ONLY
Para Tasación Adicional SOLAMENTE
Said property is the subject of an added assessment for the assessment year as follows: Dicho inmueble es objeto de una tasación adicional para el año de tasa ción , de acuerdo con lo siguiente:
Original Assessment County Tax Board Judgment Tasación original Decisión de la Junta Impositiva del Condado
Improvements/ Mejoras $ Improvements/ Mejoras $
Prorated Assessment/ Tasación prorrateada $ Prorated Assessment/ Tasación prorrateada $
for months for months por meses por meses
For Omitted or Omitted/Added Assessment ONLY
Para una Tasación Omitida u Omitida/A ñadida SOLAMENTE
Said property is the subject of an omitted or omitted/ added assessment for the assessment year as follows: Dicho inmueble es objeto de una tasación omitida u omitida/añadida para el año de tasa ción , de acuerdo con lo siguiente:
Original Assessment County Tax Board Judgment Tasación original Decisión de la Junta Impositiva del Condado
Land/ Terreno $ Land/ Terreno $
Improvements/ Mejoras $ Improvements/ Mejoras $
Prorated Assessment/ Tasación prorrateada $ Prorated Assessment/ Tasación prorrateada $
for months for months por meses por meses
Do you or your client have any needs under the Americans with Disabilities Act? Yes/ Sí No/ No ¿Tiene usted o su cliente algunas necesidades según la Ley para estadounidenses con discapacidades?
If yes, please identify any requirements or accommodations you may require. Si es así, identifique las necesidades o arreglos que pueda requerir.
Will an interpreter be needed? Yes/ Sí No/ No If yes, for what language ¿Será necesario un intérprete ? Si es así, ¿de qué idioma
Please Note : Only an interpreter registered with the Administrative Office of the Courts may be used during a court proceeding.
Tome en cuenta: Solamente un intérprete registrado con la Oficina Administrativa de los Tribunales se podrá usar durante un
procedimiento judici al.
I certify that confidential personal identifiers have been redacted from documents now submitted to the court and will be
redacted from all documents submitted in the future in accordance with Rule 1:38 -7(b).
Certifico que los identificadores personales confidenciales se han quitado de los documentos sometidos ahora al tribunal, y q ue
se quitarán de todos los documentos que se sometan en el futuro conforme a la Regla 1:38 -7(b).
Dated /Fechado Signed/ Firmado
Make Filing Fee checks payable to /Gire los cheques para la tasa judicial de presentación pagaderos al : Treasurer, State of New Jersey
Mailing Address /Dirección para el envío por correo : Tax Court Management Office , P.O. Box 972 , Trenton, NJ 08625 -0972
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