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As a courtesy, we can provide a break-down of your tax bill upon request. This is only to be used as a guide for multiple buildings and land values to assist in dividing a tax bill between various owners. Please allow at least thirty (30) days for requested information

Owner Name

First Last

TMS#:

If you do not know your TMS or decal #, you can search for it here

Address

Street Address Address Line 2 City State ZIP Code

Requested By

First Last

Phone

Address

Street Address Address Line 2 City State ZIP Code

Fax

Email

Please list the site addresses along with the names of the owner so we can label the property correctly and update our records.

Owner

First Last

Site Address

Street Address Address Line 2 City State ZIP Code

Owner

First Last

Site Address

Street Address Address Line 2 City State ZIP Code

Owner

First Last

Site Address

Street Address Address Line 2 City State ZIP Code

Owner

First Last

Site Address

Street Address Address Line 2 City State ZIP Code

Owner

First Last

Site Address

Street Address Address Line 2 City State ZIP Code

Owner

First Last

Site Address

Street Address Address Line 2 City State ZIP Code

Owner

First Last

Site Address

Street Address Address Line 2 City State ZIP Code

Owner

First Last

Site Address

Street Address Address Line 2 City State ZIP Code

Owner

First Last

Site Address

Street Address Address Line 2 City State ZIP Code

Owner

First Last

Site Address

Street Address Address Line 2 City State ZIP Code

Applicant Email*

Consent

I understand that under penalty of law, I hereby certify that the information given herein is correct and true to the best of my knowledge and belief.

Signature

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Multi-Residence Breakdown request

Berkeley County Government

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