SAMPLE REQUEST FOR PROPORTIONAL
BALLOT
[Insert your name]
[Your street address]
[Your city, state, and zip]
[Phone/fax, if you want to provide this information]
[insert date]
Secretary
Contra Costa County Open Space Funding Authority
651 Pine Street, North Wing, 4th Floor
Martinez, CA 94553
Fax: (925) 335-1349
Re: Request For Proportional Ballot for Assessor’s Parcel Number:_______[insert parcel #]
Dear Mr. Secretary:
I am writing to request a proportional ballot for the Contra Costa County Open Space Funding Authority, Parks and Open Space Protection and Preservation District. I am one of the owners of the parcel listed above and wish to cast a ballot separate from the other owners
[Choose one of the
following]
Please send a proportional ballot to me at the mailing address listed in the property tax rolls. I have attached a [type of document proving proportional ownership interest, e.g., a grant deed] showing my proportional interest
[or]
I would like my proportional ballot sent to an address that I believe is different from the mailing address listed in the County’s property tax rolls. I have attached a [type of documents proving ownership and proportional interest, e.g., a grant deed] proving I own the parcel in question and showing my proportional interest. Please send a replacement ballot to me at the following address:
[insert address to which you would like the
replacement ballot sent]
Thank you very much.
Sincerely,
[your signature]
[your printed name]