Santa Cruz County, CA · Santa Cruz County
Withdrawal Request Form
Applicants or their authorized agents use this form to request withdrawal of an application for changed assessment from the Santa Cruz County Assessment Appeals Board.
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 asks the Santa Cruz County Assessment Appeals Board to withdraw an application for changed assessment. It collects applicant and agent or attorney contact details, the application and parcel or account numbers, and the scheduled hearing date. The applicant and authorized agent can sign and date the request; the form notes that some withdrawals may be denied and that withdrawing a refund claim also withdraws the claim.
Who needs it
Applicants seeking to withdraw an application for changed assessment, or their authorized agents, can use this form to make the request.
How to submit it
Send the completed form to the Clerk of the Assessment Appeals Board at 701 Ocean Street, Suite 520, Santa Cruz, CA 95060-4073. The form lists a phone number and email address for questions.
About notarization
This form is signed and dated without a notary; it does not identify a notarized or sworn attachment, so the applicant and authorized agent sign and date it.
How to submit this form
- 1
Download the Form
Download the Withdrawal Request Form for an application for changed assessment.
- 2
Complete the Form
Enter applicant and agent or attorney contact information, application and parcel or account numbers, and the scheduled hearing date.
- 3
Sign and Date
Have the applicant and authorized agent sign and date the request, as applicable.
- 4
Submit to the County
Send the completed form to the Clerk of the Assessment Appeals Board at the address printed on the form.
Frequently asked questions
- What does the Withdrawal Request Form do?
- It lets an applicant or authorized agent request withdrawal of an application for changed assessment from the Assessment Appeals Board.
- Who can use this form?
- An applicant or the applicant's authorized agent can provide contact details, appeal application information, and signatures to request withdrawal.
- Do I need a notary for the Withdrawal Request Form?
- No. The form is signed and dated without a notary and identifies no notarized or sworn attachment.
- How do I submit the Withdrawal Request Form?
- Send it to the Clerk of the Assessment Appeals Board at the address printed on the form. Contact the Clerk by phone or email with questions.