Vacant/subdivision Land Questionnaire Form
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1VACANT/SUBDIVISION LAND QUESTIONNAIRE
This questionnaire provides you with an easy method to submit information to the county assessor
concerning VACANT LOTS within your development.
All information provided shall be kept confidential
by the assessor.
QUESTIONNAIRES MUST BE RETURNED TO ASSESSOR BY ___________________________
Subdivision name: _______________________________________________________________
Ownership under which lots are held: ______________________________________________
Total number of lots in this subdivision: ______ Will subdivision be completed in phases Y/N
Residential #________ Multi-family #________ Commercial #________ Industrial #________
Date that Infrastructure was complete and lots were available for purchase _____/_____/_____
Number of lots held for personal use (not being marketed) _____________________________
Total number of lots sold from January 1, 20_____ thru December 31, 20_____: ____________
(Calendar year prior to assessment year)
Retail price range of vacant lots within subdivision (per lot): $__________
to $__________
Indicate influences which strongly affect the range of
value: (+) or (-):
Number of vacant lots
+ or -
Influence
Reason
still held by developer
Topography
as of 01/01/20___
Number of vacant lots
Site Size
with amenities.
(Roads, grading,
Shopping
utilities, etc).
Medical
Number of vacant lots
without any
Schools
Anticipated date of
amenities.
completion _________
Common area
Number of vacant lots
with partial amenities.
Recreation
Anticipated date of
completion _________
Other
Estimated number of
years/months left till
Other
remaining vacant lots
are sold.
I, ____________________________, hereby declare that the above statements, answers
(Print Name)
and information are in all respects true and correct to the best of my knowledge.
Signature: ___________________________________________
Date: __________
Phone: _________________ e-mail __________________________________
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