REQUEST FOR CANCELLATION OF DELINQUENT TAX PENALTIES
In accordance with Section 4985.2 of the California Revenue and Taxation Code,
I hereby file a
request for cancellation of delinquent property tax penalties described below for the reasons indicated.
Parcel Number(s)
Tax Bill Number(s)
Owner's Name
Mailing Address
Daytime Phone
Amount of Penalties Paid
Date Penalties Paid
Reason for Delinquency
I declare under penalty or perjury that the above statements are true to the best of my knowledge.
Executed at
on
Date
Signature
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