Withdrawal Form

4. NATRONA COUNTY

   APPEAL WITHDRAWL FORM

   (PLEASE FILL OUT SEPARATE FOR EACH ASSESSMENT)

6. IN THE MATTER OF THE APPEAL OF:

8. PHYSICAL ADDRESS

10. OWNER*

12. REPRESENTATIVE

14. ACCOUNT NUMBER*

16. DOCKET NUMBER

18. PARCEL NUMBER*

20. LEGAL DESCRIPTION

22. BY SIGNING THIS FORM, I UNDERSTAND I AM NO LONGER APPEALING MY 2020 TAX ASSESSMENT, THEREFORE; WITHDRAW MY APPEAL THE COUNTY BOARD OF COMMISSIONERS.

24. SIGNATURE (BY TYPING YOUR NAME BELOW, YOU ARE CERTIFYING THAT YOU ARE THE OWNER OR AGENT OF THE OWNER)*

26. Date*
    Date

Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

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