Assessment of Real Estate - Agricultural Certificate
Requestor Name
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First Name
Last Name
Requestor Email
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Confirmation Email
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Property Address
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Street Address
Street Address Line 2
City
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Postal / Zip Code
Schedule Number (if known)
Legal Description
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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
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Should be Empty: