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)
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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
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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- -
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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*
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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
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Dated By
Depu y erk
cc: Applicant
Assessor
Auditor-Controller
APP.OWN.1