INDIVIDUAL'S ADDRESS, BIRTHDATE, SOCIAL SECURITY NUMBER (SSN) - Enter the individual's address, date of birth, and social security number (SSN). Please use a separate sheet of paper, listing the PIN, Tax Map Number, the.Property Address and the BOE appeal number for each parcel you are appealing using. LOA must be an original document addressed to the Williamsburg City Assessor. 2. Letter must be printed on the letterhead of the property owner. Address. City. State. Zip. Agent Tel: No. Please cite specific year(s) for which this authorization is valid. As the Owner of Record, I authorize the individual(s) named in Section 2 as my true and lawful attorneyinfact for the limited purpose of. As the Owner of Record, I authorize the individual(s) named in Section 2 as my true and lawful attorneyinfact for the limited purpose of. Mailing Address: PO Box 8000, Leesburg, VA 20177-9804. This dynamic PDF is not fillable if you open it in your internet browser.