Valuation Tribunal Serial No:
WITHDRAWAL OF 2005 RATING *PROPOSAL *APPEAL
Billing Authority : *
Reference Number : *
Description : *
Property Address : *
The persons whose signatures are shown below agree that the proposal to alter the Rating List dated * made by * shall be withdrawn.
The persons whose signatures are shown below agree that the *appeal *deemed appeal made on * by * shall be withdrawn.
Signed by or on behalf of :-
1. The proposer :
2. The occupier at date of proposal :
3. The ratepayer at date of agreement to withdraw :
4. Any other interested person :
(who has served notice on the Valuation Officer)
5. The Relevant Authority :
I confirm that all relevant parties of whom I am aware have signed this withdrawal.
Valuation Officer : Date :