Outside Request Form
Customer Service: (919)560-0300 for Questions or Concerns
Date of Request
-
Month
-
Day
Year
Date
Due Date of Request
-
Month
-
Day
Year
Date
Company Name
Contact Person
First Name
Last Name
Company Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Daytime Telephone
-
Area Code
Phone Number
Fax
-
Area Code
Phone Number
Email
example@example.com
Please Indicate the Information You Are Requesting (Be Specific)
Information to be Returned Via
Mail
Walk-in
Fax
Email
Submit Request to Durham County Tax Administration
Should be Empty: