Department of Inland Revenue

Date: 06/14/2019

Assessment Number (Parcel ID):

Locator:

Map Locator

Block Locator

Parcel Locator

Business Name:

Number of Property Owners:

Property Owner 1 Last Name:

Property Owner 1 First Name:

Property Owner 1 Middle Name:

Property Owner 1 Date of Birth:

Property Owner 1 NIB:

Mobile Phone:

Office Phone:

Owner Email:

Confirm Owner Email:

Owner Occupied:

Yes

No

Owner Address

Owner Street Name:

Owner Bldg Number:

Owner Subdivision:

Owner City:

Owner Island:

Foreign Owned:

Yes

No

Bldg Year Built:

Type of Building:

TIN:

Solar Panels:

Yes

No