Santa Cruz County, CA · Santa Cruz County
Withdrawal Request Form
Applicants use this form to ask the Santa Cruz County Assessment Appeals Board to withdraw an application for changed assessment.
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 form lets an applicant request withdrawal of an application for changed assessment and identifies the applicant, any agent or attorney, and the appeal. The form asks for contact information, the application number, the assessor’s parcel or account number, and the scheduled hearing date. It also explains that a claim for refund is withdrawn with the appeal if the application was designated as a claim for refund.
Who needs it
An applicant seeking to withdraw an application for changed assessment, or an authorized agent completing the request for the applicant, needs this form.
How to submit it
Submit it to the Clerk of the Assessment Appeals Board at the address listed on the form; check the county website for current contact details.
About notarization
This document is signed and dated without a notary; the applicant and authorized agent provide signatures and dates.
How to submit this form
- 1
Download the Form
Download the Withdrawal Request Form for an application for changed assessment.
- 2
Complete the Request
Enter applicant and agent or attorney contact information, appeal details, and the scheduled hearing date.
- 3
Sign and Date
The applicant and authorized agent sign and date the form as applicable.
- 4
Submit to the County
Send the completed form to the Clerk of the Assessment Appeals Board at the address listed on the form.
Frequently asked questions
- What does the Withdrawal Request Form do?
- It lets an applicant request withdrawal of an application for changed assessment and asks for applicant, agent or attorney, and appeal information.
- Who should complete this form?
- An applicant seeking to withdraw an application for changed assessment can complete it. The form provides signature lines for the applicant and an authorized agent.
- Do I need a notary for the Withdrawal Request Form?
- No. The document is signed and dated without a notary; the applicant and authorized agent provide signatures and dates.
- How do I submit the Withdrawal Request Form?
- Submit it to the Clerk of the Assessment Appeals Board at the address listed on the form. Check the county website for current contact details.