Agent Authorization Form
| Box 1 | Complete all sections in the"Applicant/Property Information" portion of the form and provide us with your current mailing address. Enter the calendar year that this authorization is effective. NOTE: Only one calendar year may be authorized. If you are authorizing a single agent to act on your behalf for all property owned by you or your organization within the City & County of San Francisco, check the appropriate box and initial that section. If you are authorizing a single agent to act on your behalf for property identified on the attached Multiple Property Statement form AAB 305-AM, check the appropriate box and initial that section. |
| Box 2 | Complete all sections. |
| Box 3 | This box must be completed by the agent named in Box 2. |
| Signature & Date | The form must be signed and dated at the bottom by the applicant named in this application. Signatures in blue ink are preferred. Be sure to print name and title (if applicable) clearly. If a copy of this form is being submitted, you or your agent must produce the original form with original signatures upon request or any action being requested will be denied. |
| Completed Form to: | The Assessment Appeals Board City Hall, Room 405 1 Dr. Carlton B. Goodlett Place San Francisco, CA 94102-4697 415.554.6778 |