Office of the Assessor-Treasurer
2401 South 35
Street, Room 142
Tacoma, Washington 98409-7498
AUTHORIZATION TO PAY PROPERTY TAX
AS AGENT OF INTERESTED PARTY PURSUANT TO RCW 84.64.060
Under state law, notarized documentation is required for any person paying property tax as an agent of another person after a
Certificate of Delinquency has been issued. Please be advised that if you are not the taxpayer but do have a legal interest in such
property, you may be entitled to a lien on the property after paying these taxes. You may wish to consult an attorney regarding
your rights and responsibilities before making such a payment.
TO THE PIERCE COUNTY ASSESSOR-TREASURER:
Under penalty of perjury, I ________________________________________________, affirm that I am one of the following
(indicate by marking the provision that applies):
the taxpayer of record; or
a person or entity owning an interest in lands or lots upon which judgment is prayed;
upon the following described property tax delinquency:
tax parcel number ______________________________________
upon which property taxes are owed for the tax years _____________________________________
at the address commonly known as: _________________________________________________________ .
By my notarized signature below, I authorize (insert authorized person’s name) ________________________________________ to pay
property taxes on my behalf as my agent pursuant to RCW 84.64.060. I understand that a receipt for such payment shall be given to
the agent presenting payment to the Assessor-Treasurer in my name, and it is my responsibility to obtain said receipt from the agent in
order to secure any rights I may have under state law.
Signature of Taxpayer or Interested Party Date
If Entity, Name and Title of person signing on entity’s behalf: ________________________________
State of ________________________ )
County of ______________________ )
I certify that I know or have satisfactory evidence that the taxpayer or interested party above
Is the person who appeared before me, and said person acknowledged that (he/she) signed this
Instrument and acknowledge it to be (his/her) free and voluntary act for the uses and purposes
Mentioned in the instrument.
Sworn to before me this _____ day of __________________, 20____.
Signature of Notary Public
My appointment expires: ________________________________