Santa Cruz County, CA · Santa Cruz County

No notary required

Agreement for Extension and Waiver of Rights

Applicants use this agreement to request an extension of time for an Assessment Appeals Board hearing and waive specified appeal rights.

At a glance

Issued by
City of Santa Cruz County · Santa Cruz County, Santa Cruz County, California
Notarization
Not required: file this form without a notary.
Official source
santacruzcountyca.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

This agreement lets an applicant request more time for an Assessment Appeals Board hearing and agree to waive rights identified in the form. It is used when an applicant seeks an extension beyond the two-year period of timely filing. The form asks for the applicant’s name, application number, prior extension history, reason for the request, and signatures and dates.

Who needs it

An applicant or agent seeking an extension of time for an Assessment Appeals Board hearing should complete and sign this agreement.

How to submit it

Return the completed agreement to the Clerk of the Board of Supervisors, County of Santa Cruz, 701 Ocean Street, Room 520, Santa Cruz, CA 95060.

About notarization

This agreement is signed and dated without a notary; it does not identify any notarized attachment or sworn step.

How to submit this form

  1. 1

    Download the Agreement

    Download the Agreement for Extension and Waiver of Rights PDF.

  2. 2

    Complete the Form

    Enter the applicant and application number, indicate any prior extension, and provide the reason for the extension.

  3. 3

    Sign and Date

    The applicant or agent signs and dates the agreement.

  4. 4

    Return It to the County

    Send the completed agreement to the Clerk of the Board of Supervisors at the address listed on the form.

Frequently asked questions

Do I need a notary for the Agreement for Extension and Waiver of Rights?
No. The agreement calls for signatures and dates, not notarization, and it identifies no notarized attachment or sworn step.
What does this agreement request?
It requests an extension of time for an Assessment Appeals Board hearing beyond the two-year period of timely filing and includes a waiver of specified rights.
How do I submit the Agreement for Extension and Waiver of Rights?
Return the completed agreement to the Clerk of the Board of Supervisors, County of Santa Cruz, 701 Ocean Street, Room 520, Santa Cruz, CA 95060.

Need something notarized?

This Agreement for Extension and Waiver of Rights doesn’t need a notary, but if you have another Santa Cruz County form that does, a commissioned online notary can help.