Combination Request Form (online)

Combination Request Form

Parcel Number 1: *

Parcel Number 2:

Parcel Number 3:

Parcel Number 4:

Parcel Number 5:

Parcel Number 6:

Parcel Number 7:

Parcel Number 8:

Parcel Number 9:

Parcel Number 10:

Tax Year:

Tax Year Valid Period:

Owner Name: *

Requestor Name: *

Relationship To Owner: *

Phone Number: *

Email Address: *

Authorized Signature:
I hereby certify that I am authorized to request the above combination request for the above listed parcel numbers. *

Date Signed: *

Instructions to file this form:

You may enter up to 14 valid parcel numbers (exactly as they appear on your tax bill including dashes and dot)
This combination will not be completed if any of the following conditions exist at the time of
processing:
- Any overdue taxes are on any of the parcels
- Ownership doesn’t match exactly
- Parcels are not contiguous
- Parcels lie in different sections
This request will be processed for current tax year. Canceling or undoing a combination will require the recording of a document (i.e. survey or deed) showing or calling out the individual parcels for splitting. Any questions pertaining to assessment of the combined parcel must be directed towards the Assessor’s Offices
Use the lookup icon next to each parcel number field to perform parcel number search
You may search by owner name, parcel number or address
Fill out the remaining fields and provide electronic signature on the bottom
Click Submit button
You will receive and email confirmation with completed form in PDF format