Your Name
required

Your Phone Number:
required

Property Address:
required

Tax Account Number

ABOUT THE PROPERTY:
check one
My Property is Listed for sale. Asking price is :

I have sold the property. Date of Sale:

The building is vacant.

Other changes describe in space provided.

Description of Change
Examples include damage, structural defects, recent remodel, remodel or addition in progress, needs new roof, recent flooding, re-finance appraisal, etc. Please describe.