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Kenton County 2019 911 Fee Appeal Application

2. Contact Information

4. Name*

5. Email Address

7. Address

9. City

10. State

11. Zip Code

13. Phone Number

14. Are you the property owner?*

    1. Yes
    2. No

15. If not the owner, please specify reason you are filing this appeal instead of property owner.

19. Property Information
    Please submit a separate appeal form for each individual parcel.

    Please submit a separate appeal form for each individual parcel.

21. Property Owner Name

22. Property PIDN

24. Property/Parcel Street Address*

25. City*

29. Reason for Appeal

    Please summarize the reason(s) you believe this property should be exempt from the 911 fee.

33. Agreement & Submission
    By submitting this appeal, you affirm the facts set forth are true and complete.

    By submitting this appeal, you affirm the facts set forth are true and complete.

35. All forms must be submitted by January 1st.

    All forms must be submitted by January 1st.

Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field