Recycle Or Release Request Form - Craven County Tax Department
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1CRAVEN COUNTY TAX DEPARTMENT{PRIVATE }
RELEASE OR REFUND REQUEST FOR RECYCLE FEES BILLED YEAR OF _____
Billed on:
Real ( )
Personal ( )
FROM BILL: Twp/Map/Lot# __ ___ ______ Acct# ______ Ticket #______
Property Owner(s) _______________________________________________
PURSUANT
TO
THE
CRAVEN
COUNTY
RECYCLING
ORDINANCE
ENACTED
BY
THE
CRAVEN COUNTY BOARD OF COMMISSIONERS IN JUNE 1992, I REQUEST
( ) RELEASE of the recycling fee(s) billed of $ __________
( ) REFUND of the recycling fee paid on ___________ (date) on
#__
Residential
unit(s)
described
in
the
Craven
County
Tax
Department Parcel Records for the above Map/Lot Number.
CHECK UNIT TYPE:
( ) MOBILE HOME
( ) HOUSE
( ) APT/CONDO
[If mobile home, give year, make, model & size.
If house, give
# stories, rooms & baths.
If apartment/condo give project name.
Description- ____________________________________________________
Subject Property Street Address - _______________________________
Contact ________________ at Phone # ___________ to gain admission.
(If other than owner)
(During Business Hours)
This residential unit does not qualify for recycle billing for the year
indicated due to:
( ) Dwelling unit did not exist as of July 1, ____ (complete year).
( ) Under construction, no occupancy permit issued.
( ) Torn down or removed approximately _________. (date)
( ) Dwelling unit exists but due to condition is not economically
feasible to repair and was last occupied _____________. (date)
CURRENT
USE
of
this
former
dwelling
unit
is
_____________________________________________________________.
(
)
Dwelling
unit
exists
but
has
been
continuously
vacant
and/or
unoccupied since _____________________________________.(date)
(
)
Dwelling
unit
exists
but
is
a
second
home
occupied
only
by
the owner.
It is not and has not been rented on any basis
for
any
period
of
time
in
the
past
year.
The
owner
has
a
primary residence within CRAVEN COUNTY identified as:
Tax Parcel- Map/Lot #______________ Account # ______________.
( )
Reason other than above: ____________________________________
_____________________________________________________________.
I HEREBY ENTER THIS SWORN STATEMENT BEFORE THIS WITNESS,
SWORN THIS DATE OF: __________________ (date)
______________________________________ (SEAL)
Witness:
___________________________________
Check if witness is Tax Dept. Employee- ( )
FILE: RECYCLE-RELEASE
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