SAMPLE REQUEST TO WITHDRAW BALLOT AND REQUEST A REPLACEMENT 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, 4^th Floor

Martinez, CA 94553

Fax: (925) 335-1349

 

Re:       Request To Withdraw Ballot and Request a Replacement Ballot for Assessor’s Parcel Number:_______[insert parcel #]

 

Dear Mr. Secretary:

 

I am writing to: a) withdraw the ballot I submitted previously for the Contra Costa County Open Space Funding Authority, Parks and Open Space Protection and Preservation District; and b) request a replacement ballot. 

 

[Choose one of the following]

 

Please send a replacement ballot to me at the mailing address listed in the property tax rolls.

 

[or]

 

I would like my replacement 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 copy of a document [e.g., grant deed] that proves I own the parcel in question.  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]