50-218 (Rev. 2-94/3)
PRINT FORM
CLEAR FIELDS
SETTLEMENT AND WAIVER OF PROTEST To the Appraisal Review Board for _____________________________________________ County
Case no.: ____________________________________ Property owner: Date filed: ___________________________________ Description of property:
SETTLEMENT AND WAIVER OF PROTEST
I acknowledge that the subject matter of the protest filed on the above date concerning the property described above has been settled. I hereby withdraw my protest and waive my right to any further proceeding in this matter. Describe actions to be taken:
Property owner
Appraisal District Representative
____________________________________________
Agent's signature if on behalf of property owner
___________________________________________
Date
____________________________________________
___________________________________________
Order
On the ________ day of _______________________ , the Appraisal Review Board with a quorum present ordered that the appraisal records shall be changed according to the settlement.
Chair
Date
____________________________________________
___________________________________________