peace of mind
RETURN TO TAX COLLECTOR - 1
PEACE OF MIND DUPLICATE TAX NOTICE REQUEST TO:
ESCAMBIA COUNTY TAX COLLECTOR
DATE:
FROM: (OWNER NAME – PLEASE PRINT)
I REQUEST THAT THE FOLLOWING INDIVIDUAL BE MAILED A DUPLICATE TAX NOTICE:
PLEASE PRINT
NAME: ADDRESS: CITY
STATE
ZIP CODE
ACCOUNT NUMBER(S) (LIST EACH ACCOUNT NUMBER TO BE MAILED)
THE PROPERTY OWNER IS RESPONSIBLE FOR PAYMENT OF TAXES AND THE THIRD PARTY ASSUMES NO LIABILITY FOR PAYMENT OF TAXES BY ACCEPTING THE DUPLICATE NOTICE.
SIGNATURE
SIGNATURE OWNER
PERSON TO RECEIVE DUPLICATE NOTICE
ORIGINAL SIGNATURES REQUIRED
TC FM2002 REV 04/01
PEACE OF MIND DUPLICATE TAX NOTICE REQUEST TO:
ESCAMBIA COUNTY TAX COLLECTOR
DATE:
FROM: (OWNER NAME – PLEASE PRINT)
I REQUEST THAT THE FOLLOWING INDIVIDUAL BE MAILED A DUPLICATE TAX NOTICE:
PLEASE PRINT
NAME: ADDRESS: CITY
STATE
ZIP CODE
ACCOUNT NUMBER(S) (LIST EACH ACCOUNT NUMBER TO BE MAILED)
THE PROPERTY OWNER IS RESPONSIBLE FOR PAYMENT OF TAXES AND THE THIRD PARTY ASSUMES NO LIABILITY FOR PAYMENT OF TAXES BY ACCEPTING THE DUPLICATE NOTICE.
SIGNATURE
SIGNATURE OWNER
PERSON TO RECEIVE DUPLICATE NOTICE
ORIGINAL SIGNATURES REQUIRED
TC FM2002 REV 04/01
