2. REQUESTOR INFORMATION (Tell us who you are)
4. Company (as applicable)
6. First Name
7. Last Name
9. Address1
10. Address2
12. City
13. State
14. Zip
16. Phone
17. Email
19. PROPERTY INFORMATION (Tell us the property to research)
21. Address1
22. Tax Parcel ID (aka SBL)
24. Information Requested*

    Your Reference # (as applicable): _______________________________________

    1. Village Property Tax
    2. Water Utility Connection
    3. Sewer Utility Connection

    1. Water Payment History (1 year)
    2. Water Payment History (5 year)
    3. Sewer Payment History (1 year)

    1. Sewer Payment History (5 year)
    2. Other _________________________

26. I understand if the information is available, the cost of a Municipal Tax Search is a flat fee of $15.00. I also understand the law allows 5 days response time for compliance with this request; however the report does not need to be released until payment is received. If you have any questions please call the Village Hall Office at (518) 765-2692.

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27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit Submit and Print

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