Fill and Sign the Fillable Online Personal Identifiers on it Such as Social Security Form

Revised Form Promulgated by 07/01/2019 Notice to the Bar , CN 10334 (CIS-C/E) page 1 of 2 NOTICE: This is a public document, which means the document as submitted will be available to the public upon request. Therefore, do not enter personal identifiers on it, such as Social Security number, driver’s license number, vehicle plate number, insur ance policy number, active financial account number, or active credit card number. Tax Court of New Jersey Case Information Statement Correction of Error in Assessment (CIS -C/E) Instructions: To be attached to face of complaint (type or print) Attorney Name (List your information if you are not represented by an attorney) Attorney ID Number Street E-mail Address City State Zip Telephone Number 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-(a)(2). Check for Small Claims Division Filing Fee Submitted Check / other Attorney Charge Account # $ Part A. Fill in the following : 1. Plaintiff Defendant 2. County Block Lot Unit 3. Assessment year(s) in contest 4. Property Address 5. Property Type (check one) 1 -4 Family Residence (class 2) Business Personal Property Percentage Casino Commercial Condominium Farm Residence (class 3A) Farmland Hotel Industrial Multi-Unit Residential (over 4 Units) Nursing Home Pipeline Senior Citizen/Veteran Deduction Tax Exempt Other Vacant Land 6. Is plaintiff the Owner Tenant Contract Purchaser Court Appointed Rent Receiver Municipality Other Revised Form Promulgated by 07/01/2019 Notice to the Bar , CN 10334 (CIS-C/E) page 2 of 2 7. Type of error (check one) Typographical Transposition Other 8. Is any action pending before the Tax Court for above property for a prior year(s)? Yes No Year(s) 9. Is the Verified Affidavit complete and attached to complaint? Yes No Do you or your client have any needs under the A mericans with Disabilities Act? Yes No If yes, please identify any requirements or accommodations you may require. Will an interpreter be needed? Yes No If yes, for what language Please Note: Only an interpreter registered with the Administrative Office of the Courts may be used during a court proceeding. I certify that confidential personal identifiers have been removed from documents now submitted to the court, and will be removed from all documents submitted in the future in accordance with Rule 1:38-7(b) Dated Signed Make Filing Fee checks payable to: Treasurer, State of New Jersey Mailing Address: Tax Court Management Office , P.O. Box 972, Trenton, NJ 08625-0972