Form Fp-414 B - Division Of Lots Request Application

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Government of the District of Columbia
Office of Tax and Revenue
Real Property Tax Administration
Maps & Title Section
1101 4th Street, S.W., Suite 5011
Washington, D.C. 20024
Division of Lots Request Application
Please list all lots to be divided:
Square: ________ Suffix: ________ Lot(s): __________
Square: ________ Suffix: ________ Lot(s): __________
Square: ________ Suffix: ________ Lot(s): __________
Please list all recorded owners:
______________________________________ _______________________________________
Name
Name
___________________________________ ___________________________________
Name
Name
___________________________________ ___________________________________
Name
Name
Please review and sign:
I/We, the recorded owner(s) or authorized agent for the owners of the above listed lots, request
that they be divided in accordance w ith the attached plat . The plat shows the present lot
numbers, dimensions, in contrasting colors, and the proposed new lot lines and dimensions.
Dimensions have been clearly shown so that the Office of Tax and Revenue may compute the
area of each new lot for assessment and taxation purposes. I/We understand ownership of all
lots to be divided must be identical, and all real property taxes must be current. If this request is
submitted between October 1 through March 31, taxes must be current through March 31 of that
tax year. If this request is submitted between Apr il 1 through September 30, t axes must be
current through September 30 of that year.
__________________________
__________________________
Print Name
Signature
__________________________
__________________________
Print Name
Signature of Authorized Agent
__________________________
__________________________
Tax Bill Mailing Address
City, State, Zip Code
__________________________
__________________________
Date
Telephone Number
FP-414 B (2010)

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