This document is a Notice of Referral to the Office of Dispute Resolution from the Montana Department of Revenue. It notifies the recipient that they may appeal a decision made by the Department regarding their Statement of Account or final Appraisal Report for centrally assessed property. The recipient must file this Notice within 15 days and attach any prior Request for Informal Review or explanation of their objection. It requests key information such as account details and contact information to process the referral to the Office of Dispute Resolution.