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To begin your Tax Offset Appeal process, you must provide your personal information below.

Student First Name

Student Middle Name

Student Last Name

Maiden Name/Name When You Were Student (if applicable)

Student ID # (must include 'C') If unknown, enter n/a

Student Last 4 digits of SSN

Student Date of Birth (MM/DD/YYYY)

Provide information below to allow us to allow future communication.

NOTE: A COPY OF THIS APPEAL AND ALL FUTURE CORRESPONDENCE WILL BE SENT TO THE EMAIL ADDRESS YOU PROVIDE BELOW

Email Address

Telephone Number

Current Street Address

City

State

Zip Code

Please select the last Ivy Tech campus you attended.

In the space below, please describe why the outstanding balance is inaccurate.

NOTE: There is no character limit on this text box.

Attach documentation substantiating any inaccuracy.

Attachment #1

Attachment #2

Attachment #3

By signing below, you certify that the information you provided is accurate to the best of your knowledge.

Sign Here

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A copy of your appeal and all future correspondence will be sent to the email address you provided above. Please ensure you entered the email address accurately in the space above.

Click 'SUBMIT' below to officially submit your appeal to the Ivy Tech Tax Appeal Review Board.