Assessment Letter Application

Assessment Letter Application

P.O. Box 59666
Homewood, Alabama 35259
205-332-6109

Please complete one form for each assessment letter requested. The cost for each assessment letter is $10.00. Please note: the City of Homewood does not assess fire dues.
Applicant First & Last Name*
Applicant Company Name*
Applicant Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
Property Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current Owner First & Last Name*
Property Purchaser First & Last Name*
Closing Date*

MonthDayYear
Date
Full Legal Description - Please include Lot & Block numbers and Map Book with Page numbers when applicable*
E-Signature of Responsible Party*

First NameLast Name
Today's Date*

MonthDayYear
Date
*By signing your name electronically on this form, you are agreeing that your electronic signature is the legal equivalent of your manual signature.
Should be Empty: