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Download-Property-Tax-Receipt-Form

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					Property Tax Receipt Form
Company name: _______________________________ TAN # _______________

Address: ____________________ City _____________ State: ___________ Zip: _______

Phone: ________________ Email: _________________ Website: ____________________

Personal details:

Full Name: _______________________________ Personal Account Number ____________

Address: ____________________ City _____________ State: ___________ Zip: _______

Phone: ________________ Email: _________________ Fax: ________________________

Father’s Name: _____________________________________________________________

Property Details: Residence or Commercial.

Property for which tax is being filled: __________________________________________

Address: _____________________________ City ___________ State____________

Is the property whose tax is being deposited, being used for rent purpose? _______________

Construction material used in the property ________________________________________

Property’s condition (state of repair) ____________________________________________

How is the property maintained? _______________________________________________

Any special exposure to storm, floods, fire and other natural disasters __________________

Date of cover: From _________________________ to __________________________

Name of previous property owners and their contact detail(s) ________________________

________________________________________________________________________
_

The year the building was built (approximate) ____________________________________

Taxable Sum: _________________________________________________________
Description ________________________________________________________________

Signature: _______________________________ Date: _______________________

Received by: ______________________________________________________________

Signature: _______________________________ Date: _______________________

Approved: _______________________________ Declined: _______




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posted:10/25/2011
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