Form Dr-485wi - Value Adjustment Board Withdrawal Of Petition
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1DR-485WI
VALUE ADJUSTMENT BOARD
R. 01/17
WITHDRAWAL OF PETITION
Rule 12D-16.002
F.A.C.
Eff. 01/17
To the value adjustment board of
County
Address
From
Taxpayer
Representative
Parcel ID
Petition #
Property
Mailing
address
address
Email
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The petition is withdrawn for the reason below.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:
OR
Signature, taxpayer
Signature, petitioner or representative
If signed by a representative, I am authorized to withdraw
this petition.
Print name
Date
Date
Print name
*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), 196.151, and 197.2425, F.S.).
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