Residential Questionnaire
Date:
06/11/2019
Reason for Completing this Questionnaire:
Door Hangar
Radio/Newspaper Notice
Other
Assessment Number (Parcel ID):
Map Number:
Block Number:
Parcel Number:
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:
Home Phone:
Owner Email:
Confirm Owner Email:
Owner Occupied:
Yes
No
Owner Address
Owner Street Name:
Owner Bldg Number:
Owner Subdivision:
Owner City:
Owner Island:
- Please Select -
Abaco Islands
Acklins
Andros Island
Berry Islands
Bimini
Cat Island
Crooked Island
Eleuthera
Exuma and Cays
Grand Bahama
Harbour Island
Inagua
Long Island
Mayaguana
New Providence
Ragged Island
Rum Cay
San Salvador
Spanish Wells
Type of Building:
Single Family Home
Duplex
Triplex
4 Units
Other
Foreign Owned:
Yes
No
Rental:
Yes
No
Most Recent Sale Date:
Please Attach Copy of Declaration of Real Property/Conveyance Form if Sold in Last 3 Yrs:
Price Paid:
Dwelling Year Built:
Total Number of Rooms (Excluding Open & Closed Porches):
Number Bedrooms:
Number Full Baths:
Number Half Baths:
Central Airconditioning:
Yes
No
Does Property have a Basement:
Yes
No
Does Property have an Attic:
Yes
No
Generator:
Yes
No
Solar Panels:
Yes
No
Inground pool:
Yes
No
Please list all other Buildings on the property (i.e. Detached Garages, Sheds, Etc
.)
Other Building Type 1:
Other Building Size 1:
Other Building Year Built 1:
Other Building Type 2:
Other Building Size 2:
Other Building Year Built 2:
Other Building Type 3:
Other Building Size 3:
Other Building Year Built 3:
Remodeling in Last 5 years:
Yes
No
Additional Comments:
Submit