HomeMy WebLinkAbout04/14/2009 (2)INDIAN RIVER COUNTY
VALUE ADJUSTMENT BOARD
AUTHORIZATION OF TAX AGENT
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
PETITION # PETITIONER'S NAME:
This will serve as authorization for of
to act in my/our behalf as Agent
in regard to Property Taxes in Indian River County, Florida, and will give full permission to
represent me/us in filing renditions/returns containing information for the purpose of assessing
property owned or managed by me/us, examining records, and discussing with the appropriate
governmental authority the assessment of the property designated below.
PROPERTY ID # ADDRESS
This authorization is in effect until , or until written notice of
termination is issued by me/us.
It is requested that all communications regarding any matter in which this Agent is
authorized to act be addressed to:
Executed this day of
OWNER OF RECORD:
Signature
Printed Name
Telephone: ( )
SUBSCRIBED and SWORN TO before me this day of
Commission Stamp
Notary Public
F:\Value Adjustment Board\2007\Web site\Authorization 07.rtf