Application For Purchase Of Copy Of Kern County Assessment Roll

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APPLICATION FOR PURCHASE OF
COPY OF KERN COUNTY ASSESSMENT ROLL
Buyer Name: ____________________________________ Contact: _________________________
Mailing Address: __________________________________ Phone: (
) _____________________
City: ____________________________________________ State _________
Zip _____________
Email: __________________________________________ Special District [Y/N] Fund No ________
INFORMATION REQUESTED:
Most Current Update Available [ ] or Current Tax Year [ ]
FOR:
Secured Real Property
[ 1
]
Oil & Gas Producing [
2
]
Government
[
5
]
Unsecured Property
[ 4
]
Mobile Homes
[
6
]
State Valued Utilities [
3
]
For less than the entire roll identified, Buyer must provide one of the following (attach list as necessary):
1. Assessor Tax Number (ATN) – Attach sequent ial list with an 11 dig it ATN if not re questing entire map
page(s) within an Assessor’s Map Book. Map page or book ranges are acceptable.
2. Assessor’s Map Book(s) ______________, _______________, ______________, _______________
3. City of ____________________________________________________________________________
4. District Fund Number(s) _______________, ______________, ______________, ________________
5. Tax Rate Area Code(s) _________-__________, __________- __________, __________- _________
6. Use Codes ____________, ___________, ___________, __________, (directory available at website)
OUTPUT:
*Information Technology Services (ITS) will bill separately a minimum charge of $50 for services. For your
convenience, please initial indicating pre-approval for ITS charges up to: $125 ____ $250 ____.
FTP site: __________________________ Userid: ___________________ Password: __________________
CD-ROM: [
]
Email Output to:
Same as Above
_____________________________________________________________
Buyer agrees to the Buyers Purchase Price of the Assessment Roll, as specified hereinabove, is
subject to the terms and conditions set forth in the TERMS AND CONDITIONS APPLICABLE TO
PURCHASE OF ASSESSMENT ROLL and fu rther agree that such terms and conditions are binding on
buyer
.
__________________________________________________
_____________________________
Buyer’s Signature
Date
Send APPLICATION AND CHECK for $80 (payable to County of Kern) to Assessor’s Office:
KERN COUNTY ASSESSOR
website:
ADMINISTRATION SERVICES
e-mail:
bullardh@co.kern.ca.us
1115 Truxtun Avenue
fax: (661) 868-3209
Bakersfield, CA 93301
telephone: (661) 868-3382

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