Property Management Application - Brevard County Tax Collector Form Page 2

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PROPERTIES MANAGED BY _______________________________________
Owner’s Name:
Owner’s Name:
Owner’s Email:
Owner’s Email:
Owner’s Phone (including area code):
Owner’s Phone (including area code):
Rental Address:
Rental Address:
Rental City, State, Zip:
Rental City, State, Zip:
Owner’s Mailing Address:
Owner’s Mailing Address:
Owner’s City, State, Zip:
Owner’s City, State, Zip:
Owner’s FEI #:
Owner’s FEI #:
Owner’s Name:
Owner’s Name:
Owner’s Email:
Owner’s Email:
Owner’s Phone (including area code):
Owner’s Phone (including area code):
Rental Address:
Rental Address:
Rental City, State, Zip:
Rental City, State, Zip:
Owner’s Mailing Address:
Owner’s Mailing Address:
Owner’s City, State, Zip:
Owner’s City, State, Zip:
Owner’s FEI #:
Owner’s FEI #:
)
(Please make copies of this page as required

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