Assessment of Real Estate - Agricultural Certificate
Requestor Name
*
First Name
Last Name
Requestor Email
*
example@example.com
Property Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Schedule Number (if known)
Legal Description
*
Please verify that you are human
*
Submit
Below Section to be Completed by Jefferson County Assessor Staff
The above-described property:
is assessed or valued as agricultural land
is NOT assessed or valued as agricultural land
Completed by, from the Jefferson County Assessor's Office,
First Name
Last Name
Title
Submit
Should be Empty: