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Letter of Authorization COLLIER COUNTY VALUE ADJUSTMENT BOARD AUTHORIZATION OF TAX AGENT/REPRESENTATIVE PETITIONER'S NAME PETITION # This will serve as authorization for: (NAME) of (COMPANY) (ADDRESS) (EMAIL ADDRESS) (PHONE#) to act in my/our behalf as Agent in regard to Property Taxes in Collier County, Florida, and all tax appeals before the Collier County Value Adjustment Board, and hereby 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, discussing the assessment of the following property with the appropriate governmental authority, filing tax petitions, and appearing on my behalf for all VAB proceedings. PROPERTY ID#/FOLIO PHYSICAL PROPERTY 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/Representative is authorized to act be addressed to: Executed this day of , 20_ OWNER OF RECORD: Signature Printed Name Telephone: ( ) STATE of COUNTY of SUBSCRIBED AND SWORN TO before me this day of , 20_ personally known to me who produced as identification. Notary Public Commission Stamp