Request For Property Tax Certification Form

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CENTRAL TAX BUREAU OF PENNSYLVANIA, INC.
REQUEST FOR PROPERTY TAX CERTIFICATION
A. REQUESTING PARTY INFORMATION:
INDIVIDUAL:_______________________________________________________________________________
OR COMPANY:_____________________________________________________________________________
BILLING ADDRESS:___________________________________________________________________
___________________________________________________________________
MAILING ADDRESS:__________________________________________________________________
___________________________________________________________________
PHONE NUMBER:________________________________ FAX NUMBER:____________________________
EMAIL:____________________________________________________________________________________
B. PROPERTY INFORMATION:
PROPERTY LOCATION:_____________________________________________________________________
___________________________________________________________________________________________
TITLED OWNER:___________________________________________________________________________
LOT & BLOCK #:____________________________________________________________________________
TAX YEARS REQUESTED:___________________________________________________________________
C. REQUESTED ACTION:
PROPERTY SALE
Current Owner’s Forwarding Address (REQUIRED):_____________________________________
_______________________________________________________________________________
BUYER (REQUIRED):____________________________________________________________
Buyer’s Prior Address (REQUIRED):_________________________________________________
_______________________________________________________________________________
NEW CONSTRUCTION
SEPTIC SYSTEM
REFINANCE
MORTGAGE FORECLOSURE
NO-LIEN LETTER REQUESTED - Additional Fee
Central Tax Bureau of PA, Inc. will provide the Current Real Estate Tax bill information, Real Estate Payment History, and
Municipal Lien Information relative ONLY to Real Estate Taxes and Sewage Collection that are collected by CENTAX.

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