0 (408) 299-5088 FAX (408) 298-8460 TDD (408) 993-8272 assessmentappeals cob.sccgov.org www.sccgov.org/assessmentappeals AGENT AUTHORIZATION FORM APPLICANT / PROPERTY INFORMATION APN/Acct No.: Application No.: Applicant Name: Mailing Address: City/State/Zip: AGENT S CERTIFICATION Name of Agent: Company Name: Address: City/State/Zip: Telephone: Email: I hereby certify that a copy of the completed Application for Changed Assessment attached to this authorization has been f.

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How to fill out the CA Agent Authorization Form - County Of Santa Clara online

Filling out the CA Agent Authorization Form is an essential step for individuals looking to authorize an agent in property assessment matters. This guide provides clear, step-by-step instructions for completing the form online, ensuring a smooth and efficient process.

Follow the steps to complete the form successfully.

  1. Press the ‘Get Form’ button to access the CA Agent Authorization Form for your review.
  2. In the 'Applicant / Property Information' section, fill in the Assessor's Parcel Number (APN)/Account Number and Application Number to identify the property.
  3. Provide your full name in the 'Applicant Name' field, followed by your mailing address, city, state, and zip code to ensure accurate communication.
  4. Next, proceed to the 'Agent’s Certification' section. Input the name of the authorized agent and their company name.
  5. Fill out the agent's address, city, state, zip code, telephone number, and email to allow for proper contact.
  6. In the certification statement, confirm that you have forwarded a completed Application for Changed Assessment to the applicant. The agent must also sign their name and print it, along with their title and date, confirming their authorization.
  7. Read the 'Agent Authorization' clause carefully; this section confirms that the designated agent may act on your behalf concerning the application. The agent will need to sign and print their name, title, and the date once more to complete this section.
  8. After ensuring all fields are filled accurately, you can save changes, download the completed form, or print and share it as needed.

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