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4. NATRONA COUNTY

   2022 APPEAL WITHDRAWL FORM

   (PLEASE FILL OUT A SEPARATE FORM FOR EACH PROPERTY 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 2022 TAX ASSESSMENT, AND I HEREBY 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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