TOWN OF GOSHEN
Board of Assessment Appeals
AGENT’S CERTIFICATION
TO WHOM IT MAY CONCERN:
I, _______________________________ being the legal owner of property located at:
_______________________________________________________________________
Hereby authorize _______________________________ to act as my agent in all matters
before the Board of Assessment Appeals of the Town of Goshen, State of Connecticut.
Signed:______________________________________________________
Dated:___________________________ Grand List Year:_____________
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