Personal Property Application - Disaster Re-Entry Permit printable pdf download

Personal Property Application - Disaster Re-Entry Permit

PERSONAL PROPERTY APPLICATION – DISASTER RE-ENTRY PERMIT

OFFICE USE ONLY

Town of Atlantic Beach

P.O. Box 10

PERMIT #______

Atlantic Beach, NC 28512

PERMIT #______

252 726-2121 (F) 252 726-5115

PERMIT #______

*A separate application is required for each individual

PERMIT #______

parcel number.

LAST NAME, FIRST, MIDDLE (Property owner’s name, as listed on tax records)

________________________________________________________________________

PERMANENT MAILING ADDRESS/PHONE/EMAIL

Street / PO Box ___________________________________________________________

City, State, Zip ___________________________________________________________

Phone Number ___________________________________________________________

Email Address ___________________________________________________________

ATLANTIC BEACH PROPERTY ADDRESS (where property is located)

Street Name (Example: 125 W Fort Macon Rd) ____________________________________

Atlantic Beach, NC

Tax Parcel/PIN Number: ________________________________________________

Description:

_____MOBILE HOME

_____BOAT

_____RV

List names of Mobile Home Park, Marina, or RV Park: (if applicable)

________________________________________________

NUMBER OF RE-ENTRY PERMITS REQUESTED:

*2 PERMITS FREE PER PARCEL #, ADDITIONAL PERMITS: $25.00 EACH

ADDITIONAL PERMITS REQUESTED: _____ X $25.00 = $_____ ENCLOSED

TOTAL NUMBER OF PERMITS REQUESTED: _____

APPLICANT’S SIGNATURE:____________________________ DATE:______________

Application must be completed and signed by the property owner as listed by the

Carteret County and Atlantic Beach Tax Departments.

Personal Property Application - Disaster Re-Entry Permit