SAMPLE REQUEST TO WITHDRAW 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 Submitted Previously for Assessor’s Parcel Number:_______[insert parcel #]

 

Dear Mr. Secretary:

 

I am writing to withdraw the ballot I submitted previously for the Contra Costa County Open Space Funding Authority, Parks and Open Space Protection and Preservation District. 

 

Thank you very much.

 

Sincerely,

 

 

[your signature]

[your printed name]