Poulsbo, WA · Kitsap County
Request & Authorization for Refund of Deposits
Property owners or their agents use this form to request a refund of deposits for a development project and authorize who receives the refund check.
What this form is
This form requests a refund of deposits for a development project and identifies the depositor, project, requester, and person or business to whom the refund check should be payable. The requester selects whether they are the owner or an agent; agents must certify they have the owner's permission. City staff use the form to review project status and record refund processing details.
Who needs it
A property owner or authorized agent seeking a refund of deposits for a development project uses this form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the requester signs and dates it, with no notarized attachment or sworn step listed.
How to submit this form
- 1
Download The Form
Download the Request & Authorization for Refund of Deposits PDF.
- 2
Complete The Request
Enter the depositor and project information, select owner or agent, and provide the refund payee and requester details.
- 3
Complete Agent Certification
If requesting as an agent, print your name and certify that you have the property owner's permission.
- 4
Submit To The City
Submit the completed form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- What is the Request & Authorization for Refund of Deposits?
- It is a form for requesting a refund of deposits for a development project. It identifies the depositor, project, requester, and payee for the refund check.
- Who can request a development deposit refund?
- The form allows either the property owner or an agent to request the refund. An agent must certify on the form that they have the owner's permission.
- Do I need a notary for the deposit refund request?
- No. The document is signed without a notary; the requester signs and dates it, and no notarized attachment or sworn step is listed.
- How do I submit the deposit refund request?
- The form does not specify a submission method or destination. Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Request & Authorization for Refund of Deposits doesn’t need a notary — but if you have another Poulsbo form that does, a commissioned online notary can help.