Corte Madera, CA · Marin County

No notary required

Refund Request Form

The Refund Request Form lets the original payer request a refund of development services fees, deposits, or construction taxes from the Town of Corte Madera.

What this form is

Use this form to request a refund of development services fees, deposits, or construction taxes when a payment was overpaid or a project is canceled, revoked, withdrawn, or otherwise eligible. It asks for the permit and project details, original payer information, refund reason, and payment receipt. Refunds are not issued for expired permits and are paid after final approval.

Who needs it

The original payer seeking a refund of development services fees, deposits, or construction taxes should complete and submit this form.

How to submit it

Attach the payment receipt and email the completed form to [email protected]. The form lists the Community Development Department at 300 Tamalpais Drive, Corte Madera, CA 94925.

About notarization

This form is signed without a notary; attach the payment receipt, and the original payer signs and dates the request.

How to submit this form

  1. 1

    Download The Form

    Download the Refund Request Form for the Town of Corte Madera.

  2. 2

    Complete The Form

    Enter the permit, claimant, mailing, project, telephone, and email details, then select a reason for the refund.

  3. 3

    Attach The Receipt

    Attach a receipt for payment, as required by the form.

  4. 4

    Submit To The Town

    Email the completed form and receipt to [email protected].

Frequently asked questions

Do I need a notary for the Refund Request Form?
No. The form does not require notarization; attach the payment receipt, and the original payer signs and dates the request.
How do I submit the Refund Request Form?
Attach a receipt for payment and email the completed form to [email protected], as directed on the form.
Who can claim a refund?
Refunds are sent to the original payer. The claimant must certify on the form that they are the original payer of record.
What refund requests are not eligible?
The form states that refunds will not be issued for permits that have expired. It also says payment follows final approval.

Need something notarized?

This Refund Request Form doesn’t need a notary — but if you have another Corte Madera form that does, a commissioned online notary can help.