2. Request Date*
   Request Date
3. Company Name
5. Contact Name*
7. Email Address*
8. Phone*
9. Fax
11. Mailing Address*
13. City*
14. State*
15. Zip Code*
17. Mac User?

    1. Yes
    2. No
18. Windows User?

    1. Yes
    2. No
19. If Mac User, list Operating System
21. If Windows user, select Operating System
    -- Select One --Win XP-ProWin XP-HomeWin VistaWin 7Win 8Win 10
22. Are your workstations connected to a network?

    1. Yes
    2. No
24. Internet Provider
25. Internet Browser & Version
27. Select record type(s) you wish to access

    1. Tax Office (Real Property)
    2. Tax Property Cards
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit Submit and Print

* indicates a required field