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REQUEST FOR WAIVER OF FILING DEADLINE FOR APPEAL TO THE KLICKITAT COUNTY BOARD OF EQUALIZATION FOR GOOD CAUSE {WAC 458-14-056(3)} Account (Parcel) No. Assessment Year for Tax Year I hereby request that the Board of Equalization waive the filing deadline for my petition to appeal the Assessor’s determination regarding my property. I am the taxpayer of record and swear that I was unable to file an appeal in a timely manner because of the following reason: (Please be very specific about the reason, and attach any pertinent documentation) Name of Property Owner (Print) Telephone Address City, State, Zip Signature Date NOTE: This form must be filed within a reasonable time after the filing date. 205 S Columbus Ave, Room 103 Goldendale, WA 98620 (509) 773-4612 All BOE forms are available in alternate format upon request SIGN