Ownership Changed (Date):	M JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC D 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Y 2008 2009 2010 2011
New Owner's Name:
New Owner's Address:
City:	State: Select Other AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zip Code:
Improved and/or completely landscaped:	Select YES NO
Owner will maintain property throughout the year:	Select YES NO
Owner's Response:
(*) Indicates required fields *ZONE *ASSESSORS I.D. NUMBER *MAPBOOK *PAGE *PARCEL #1 1 3 4 5 6 7 8 9 #1 0 1 2 3 4 5 6 7 8 9 #2 0 1 2 3 4 5 6 7 8 9 #3 0 1 2 3 4 5 6 7 8 9 #4 0 1 2 3 4 5 6 7 8 9 #1 0 1 2 3 4 5 6 7 8 9 #2 0 1 2 3 4 5 6 7 8 9 #3 0 1 2 3 4 5 6 7 8 9 #1 0 1 2 3 4 5 6 7 8 9 #2 0 1 2 3 4 5 6 7 8 9 #3 0 1 2 3 4 5 6 7 8 9 * Name: * Mailing Address:    * City:     * State: Select AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY  * Zip Code: * Daytime Phone: (   )    Please use (XXX) XXXXXXX
(Optional) For confirmation receipt of Response Card form, please provide an email address:
Email: