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HomeMy WebLinkAboutMINUTES - 05211985 - 1.8 (2) APPLICATION TO FILE A PEUALTY ABATEMENT BOARD OF SUPERVISORS OF THE COUNTY OF CONTRA COSTA (California Revenue and Tamtion Code Section 483) -'E1 Do Y 1 ti� Application for Abatement of Penalty ) for Failure to File the appropriate Change of Ownership Form (Sales Form) ) to be filed with the Clerk of the ) Board of Supervisors, 651 Pine Street,) Room 106, Martinez, California 94553 ) ���!� gAT��±EIn Phone: (415) - 372-2371 ) Lc Br rfakvA-� Assessor's Parcel Number Name Phone Q / LICU.1 L, Address SVD LG j d JV p Street City Stat Zip Amount of Penalty $ Date of Notification by Assessor R on for Re uest of Penalty Abatement- - r i d Has wnership Change Statement (Sales 4e) be n filed Assessor? ��• �%%�T �`k Yes If yes, date filed O _ No I declare under penalty of perjury that the foregoing is true and correct. i� sate k1o, gnaturepf Applicant Mailing address of applicant if different from above - To Be Completed by Assessor -�------------- - --~� Date of First Request for Change of Ownership Statement Ownership Change Statement filed: Yes No_( Date Filed Abatement recommended: Yes No n 41n Date Signature of Assessor* ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- 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 kPA11 01 Dated By Depu y erk cc: Applicant Assessor Auditor-Controller APP.OWN.1