VALUE ADJUSTMENT BOARD 
DR-485WI  
N. 12/09  
Rule 12D-16.002  
Florida Administrative Code 
TC 

WITHDRAWAL OF PETITION 

To the value adjustment board of       County 	
Address 	      	

 

From 	      	 Taxpayer     Agent 	
Parcel ID 	      	Petition # 	      	
Property  
address 	      	Mailing 
address  	      	
Email 	      	Phone 	      	
I do not wish to have a decision entered by the board or special magistrate. I understand that withdrawing this petition may mean I lose my right to file an appeal of the assessment in circuit court.*  
The petition is withdrawn for the reason below. 	
  The petitioner agrees with the determination of the property appraiser or tax collector. 	
  The petitioner and property appraiser or tax collector have reached a settlement.  
       Value settled on $       	
  The petitioner does not agree with the decision or assessment of the property appraiser or tax collector  
       but no longer wishes to pursue a remedy through the value adjustment board.  	
  Other reason, specify: 
      	
 	OR 	 	
Signature, taxpayer 	 	 	Signature, petitioner or agent 	 	
 	 	 	If signed by agent, I am authorized to withdraw this petition. 	
      	      	 	      	      	
Print name 	Date 	 	Print name 	Date 	

 
*If you are not satisfied after you are notified of the final decision of the VAB, you have the right to file a lawsuit in circuit court to further contest your assessment (sections 193.155(8)(l), 194.036, 194.171(2), and 196.151, F.S.).