Boat Dock Information Form For Benton County, Ar Assessor'S Office printable pdf download

Boat Dock Information Form For Benton County, Ar Assessor'S Office

BOAT DOCK INFORMATION FORM FOR BENTON COUNTY, AR

ASSESSOR’S OFFICE

PLEASE PRINT

Date you purchased/sold boat dock: ___________________

Buyer’s/Owner’s name: ________________________________________________

Buyer’s/Owner’s mail address:

________________________________________________

Buyer’s/Owner’s telephone number:

(_________)____________________

Seller’s name:

________________________________________________

Seller’s mail address:

________________________________________________

Seller’s telephone number:

(_________)____________________

Circle one: Single Owned/Co-owned/Community Boat Dock

*Permit no.: _________ Slip no. if applicable: ________ Purchase price: ___________

No. of slips purchased: _______ No. of slips of dock: ________ Year built: _________

Construction type: ________ Boat dock size: ________ x ________

Swim deck size if applicable: _____ x _____

Parcel number &/or Corp Monument no. located at: _________

Parcel number &/or Corp Monument no. moved from if applicable: _________

Does your dock/slip contain a boat lift? Yes ____ or No ____

If it does contain a boat lift how many & what’s the weight rating of each: ___________

Does your boat dock/slip have electricity? Yes ____ or No ____

Parcel no. of related real estate: _______-________________-______

*If applicable, if there is more than one owner of the boat dock or slip please list the

names of the other owners.

1. ________________________________________________

2. ________________________________________________

3. ________________________________________________

4. ________________________________________________

(If additional space is needed please list on additional paper)

If co-owned or a community boat dock list the responsible party for tax bill:

*Taxpayer’s name:

________________________________________________

Boat Dock Information Form For Benton County, Ar Assessor'S Office