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Orange: CAA-FC03

  • AGENT DETAILS
    Authorization Of Agent
    Designation of California Attorney, State Bar No.
    The below named person is hereby authorized to act on my/our behalf as agent in assessment matters for the property listed below and, if applicable, on the attached list, which are owned, possessed, controlled or managed by the undersigned.

    A list consisting of additional properties is attached. Include the Assessor’s Parcel Number for each parcel of real property and/or the account/assessment number for each business name and address.

  • AUTHORITY

    AUTHORITY


    This agent is delegated full authority to handle all assessment matters with your office. Agent shall have access to all information and materials that would be available to the undersigned.
    Other (please specify)

    DURATION OF AUTHORITY

    This authorization is valid until (date):
    This authorization is valid for the calendar year 2016 only
    This authorization is valid for a period of no more than two (2) years from the date of execution of this authorization as indicated below, unless revoked in writing or terminated by operation of law.

  • CERTIFICATION
    The undersigned certifies that they own, possess, control or manage the property referenced in this authorization and that they have the authority to designate an agent to act on behalf of all of the owners of said property. The undersigned acknowledges delegation of authority to the designated agent and retains full responsibility for any and all actions this agent makes on behalf of the owner. The undersigned also acknowledges they may be required to furnish additional information which the Assessor may request directly from the owner or through the agent.


  • AGENT AUTHORIZATION

    AGENT AUTHORIZATION

    MULTIPLE PROPERTY LIST