Tax Property Accounts

Tax Property Accounts

Taxpayer Identification

Individual / Sole Proprietor
C Corporation
S Corporation
Partnership
Trust / Estate
Limited Liability Company (LLC)
Other

Taxpayer Identification Number (TIN)

Provide either Social Security Number (SSN) or Employer Identification Number (EIN). Do not provide both. The TIN will be used to verify ownership and to process property tax account matters.

Property Information

Assessment Year:

Date of Ownership Change (if applicable):

Account Request / Change

I request the following action(s) be taken on the referenced property account (check all that apply):

Update owner information
Change mailing address
Add or authorize an agent to manage account
Request duplicate statement or account history
Other (describe below)

Agent Authorization (if applicable)

If the taxpayer authorizes an agent, provide the agent's full name and the scope of authority below. The agent is authorized to receive account information, request duplicates, and act on behalf of the taxpayer only as explicitly described.

Billing and Notification Preferences

Select preferred method for receiving tax bills and official notices:

Postal mail to Mailing Address
Email (consent required below)
Send copies to authorized agent only

Authorization and Certification

By signing below the taxpayer certifies and authorizes as follows:

1. I certify under penalty of perjury that the information provided on this form is true, correct, and complete to the best of my knowledge and that the TIN provided is the correct taxpayer identification number for the person or entity named above.

2. I authorize the exchange of property tax account information between the jurisdiction's tax office and the agent named herein if an agent is designated, and I acknowledge that such authorization is limited to the scope described on this form.

3. I understand that submission of false or fraudulent information may subject me to civil or criminal penalties under applicable law, including penalties for perjury and fines for willful misstatement.

4. I agree to notify the tax office in writing of any changes to ownership, mailing address, or agent authorization. This form does not relieve any obligation to pay taxes when due and does not transfer or extinguish any tax liability unless specifically determined by the tax authority.

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