HomeMy WebLinkAboutMINUTES - 02121985 - 1.35 APPLICATION TO FILE A PENALTY ABATEMENT JAN 4 ldd5
BOARD OF SUPERVISORS OF THE COUNTY OF CONTRA COSTA ASSESSOR
(California Revenue and Taxation Code Section 483)
i
Application for Abatement of Penalty ) RECEIVED
for Failure to File the appropriate ) JAN X3198.5
Change of Ownership Form (Sales Form) ) 1
to be filed with the Clerk of the ) PokUAICHEIOR
Board of Supervisors, 651 Pine Street,) CLEIM
BOARD osUcoM
Room 106, Martinez, California 94553 0"Wy
Phone`: (415) 372-2371 )
Assessor's Parcel Number Q7/j�Q - ��lv [ 6Z 0:�:00 w-or+-,
Name t�K�ill _L c ` 1 f�1� Phone
,,L:st First Middle
Address `W 1 l� \SQc��'-�C7 �� Np 7
Street City State Zip
G`' Date of Notification by Assessor
Amount of Penalty $ 03
Reason for Request of Penalty A tement ,lc7 B'n� _Zl,
I�Q.G' �✓ice / '1� y//�/'�(��
l ✓=i �� a"C�- I - 1C-- ..rte A 4 !� )` O'
Q,4.,-rI sem{ iN� C.:Pi..iV•n—' �d�i� C.-!j"�"
H Ownership Change Statement (Sales Form) been filed with Assessor?
Yes If yes, date filed -T J 3
No
I declare under penalty of perjury t s correct.
Date SigAture of Applicant
Mailing address of applicant if
different from above
------------------------------------------------------------------------
To Be Completed by Assessor
Date of First Request for Change of Ownership Statement 3- - 3
Ownership Change Statement filed: Yes No �' Date Filed
Abatement recommended: Yes N/o� ✓ ,Q
5-
Date
Date Signature of Assessor
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BOARD ORDER By unanimous vote of the Supervisors present
(Check one only)
( ) This Application for penalty abatement is GRANTED.
(x) This Application for penalty abatement is DENIED
I certify that this is a true and correct copy of the Board's Order
entered in its minutes for this date.
Phil Batchelor, Clerk of the Board of
Supervisors and County Administrator
Dated M Iffil By G�
Depu4tC lerk
cc: Applicant
Assessor
Auditor-Controller Il l
APP.OWN.1 /