0 COUNTY OF LOS ANGELES AUDITOR-CONTROLLER, PROPERTY TAX SERVICES DIVISION DIRECT ASSESSMENT CURRENT YEAR CORRECTION FORM Please fill out and submit the form immediately by e-mail to Evelyn Ramirez at . AGENCY NAME: 2018 ACCOUNT No.: FISCAL YEAR: AUTHORIZATION No.: (AUDITOR USE ONLY) ORIGINAL CORRECTED CONFIRMATION DATE PARCEL NUMBER YR & SEQ CD AMOUNT AMOUNT (AUDITOR USE ONLY) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 PREPARED BY: PHONE No.: PRINT NAME I hereby authorize the above Direct Assessment Roll Corrections. AUTHORIZED SIGNATURE: DATE: AUTHORIZED NAME: PHONE No.: NAME & TITLE
0 COUNTY OF LOS ANGELES AUDITOR-CONTROLLER, PROPERTY TAX SERVICES DIVISION DIRECT ASSESSMENT CURRENT YEAR CORRECTION FORM AGENCY NAME: ACCOUNT No.: FISCAL YEAR: 2018 AUTHORIZATION No.: (AUDITOR USE ONLY) PARCEL NUMBER YR & SEQ CD ORIGINAL AMOUNT CORRECTED AMOUNT CONFIRMATION DATE (AUDITOR USE ONLY) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 PREPARED BY: PHONE No.: PRINT NAME I hereby authorize the above Direct Assessment Roll Corrections. AUTHORIZED SIGNATURE: DATE: AUTHORIZED NAME: PHONE No.: NAME & TITLE Please fill out and submit the form immediately by e-mail to Evelyn Ramirez at .
Current-Year-Direct-Assessment-Correction-Form.docx