Form Dr-485wi - Value Adjustment Board Withdrawal Of Petition printable pdf download

Form Dr-485wi - Value Adjustment Board Withdrawal Of Petition

DR-485WI

VALUE ADJUSTMENT BOARD

N. 12/09

WITHDRAWAL OF PETITION

Rule 12D-16.002

Florida Administrative Code

To the value adjustment board of

County

Address

From

Taxpayer

Agent

Parcel ID

Petition #

Property

Mailing

address

Phone

I do not wish to have a decision entered by the board or special magistrate. I understand that

withdrawing this petition may mean I lose my right to file an appeal of the assessment in circuit court.*

The petition is withdrawn for the reason below.

The petitioner agrees with the determination of the property appraiser or tax collector.

The petitioner and property appraiser or tax collector have reached a settlement.

Value settled on $

The petitioner does not agree with the decision or assessment of the property appraiser or tax collector

but no longer wishes to pursue a remedy through the value adjustment board.

Other reason, specify:

Signature, taxpayer

Signature, petitioner or agent

If signed by agent, I am authorized to withdraw this petition.

Print name

Date

Print name

Date

*If you are not satisfied after you are notified of the final decision of the VAB, you have the right to file a lawsuit in circuit

court to further contest your assessment (sections 193.155(8)(l), 194.036, 194.171(2), and 196.151, F.S.).

Form Dr-485wi - Value Adjustment Board Withdrawal Of Petition