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Mailing Address Change Form

2. 

3. PROPERTY VALUATION ADMINISTRATION
   Darlene M. Plummer, PVA
   <br><br><center><span style='color:#FDB73C;font-size:12px'><b>PLEASE SUBMIT A SEPARATE FORM FOR EACH PROPERTY</b></span></center>

   
   
   

   PLEASE SUBMIT A SEPARATE FORM FOR EACH PROPERTY

4. 1840 Simon Kenton Way Suite 3300
   Covington, KY 41011-2999
   Phone: (859) 392-1750<br> Fax: (859) 392-1770

   Phone: (859) 392-1750
   Fax: (859) 392-1770

6. Property IDentification Number (PIDN)

7. Today's Date
   Today's Date

9. Property Location*

11. Owner's Name*

13. Owner's Mailing Address*

15. City*

16. State*
    -- Select One --ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYPR

17. Zip Code*

19. Phone Number*

20. Email Address*

22. Printed name of party requesting mailing address change*

24. Relationship to property owner (i.e. self, attorney, POA, etc.)*

26. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) you are authorized to make such change on behalf of the owner, 2) your application will not be signed in the sense of a traditional paper document, 3) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 4) you may still be required to provide a traditional signature at a later date.

    1. I agree.
28. Electronic Signature*

31. In Accordance with KRS 134.119 (8)

34. Data Entry

35. SF

36. Notification Date

37. Via

39. By

41. <script> /******************************************************* * create a filter that will be used to determine * which keystrokes are allowed in the input field * and which are not. Since we're working exclusively * with phone numbers, we'll need the following: * -- digits 0 to 9 from the numeric keys * -- digits 0 to 9 from the num pad keys * -- arrow keys (left/right) * -- backspace / delete for correcting * -- tab key to allow focus to shift *******************************************************/ var filter = []; //since we're looking for phone numbers, we need //to allow digits 0 - 9 (they can come from either //the numeric keys or the numpad) const keypadZero = 48; const numpadZero = 96; //add key codes for digits 0 - 9 into this filter for(var i = 0; i <= 9; i++){ filter.push(i + keypadZero); filter.push(i + numpadZero); } //add other keys that might be needed for navigation //or for editing the keyboard input filter.push(8); //backspace filter.push(9); //tab filter.push(46); //delete filter.push(37); //left arrow filter.push(39); //right arrow /******************************************************* * replaceAll * returns a string where all occurrences of a * string 'search' are replaced with another * string 'replace' in a string 'src' *******************************************************/ function replaceAll(src,search,replace){ return src.split(search).join(replace); } /******************************************************* * formatPhoneText * returns a string that is in XXX-XXX-XXXX format *******************************************************/ function formatPhoneText(value){ value = this.replaceAll(value.trim(),"-",""); if(value.length > 3 && value.length <= 6) value = value.slice(0,3) + "-" + value.slice(3); else if(value.length > 6) value = value.slice(0,3) + "-" + value.slice(3,6) + "-" + value.slice(6); return value; } /******************************************************* * validatePhone * return true if the string 'p' is a valid phone *******************************************************/ function validatePhone(p){ var phoneRe = /^[(]{0,1}[0-9]{3}[)]{0,1}[-\s\.]{0,1}[0-9]{3}[-\s\.]{0,1}[0-9]{4}$/; var digits = p.replace(/\D/g, ""); return phoneRe.test(digits); } /******************************************************* * onKeyDown(e) * when a key is pressed down, check if it is allowed * or not. If not allowed, prevent the key event * from propagating further *******************************************************/ function onKeyDown(e){ if(filter.indexOf(e.keyCode) < 0){ e.preventDefault(); return false; } } /******************************************************* * onKeyUp(e) * when a key is pressed up, grab the contents in that * input field, format them in line with XXX-XXX-XXXX * format and validate if the text is infact a complete * phone number. Adjust the border color based on the * result of that validation *******************************************************/ function onKeyUp(e){ var input = e.target; var formatted = formatPhoneText(input.value); var isError = (validatePhone(formatted) || formatted.length == 0); var color = (isError) ? "gray" : "red"; var borderWidth = (isError)? "1px" : "3px"; input.style.borderColor = color; input.style.borderWidth = borderWidth; input.value = formatted; } /******************************************************* * setupPhoneFields * Now let's rig up all the fields with the specified * 'className' to work like phone number input fields *******************************************************/ function setupPhoneFields(idText){ var input = document.getElementById(idText); input.addEventListener("keydown", onKeyDown); input.addEventListener("keyup", onKeyUp); } //MAIN setupPhoneFields("e_10"); </script>

43. <script> /******************************************************* * create a filter that will be used to determine * which keystrokes are allowed in the input field * and which are not. Since we're working exclusively * with PIDN numbers, we'll need the following: * -- digits 0 to 9 from the numeric keys * -- digits 0 to 9 from the num pad keys * -- arrow keys (left/right) * -- backspace / delete for correcting * -- tab key to allow focus to shift *******************************************************/ var pidnFilter = []; const keypadPIDNZero = 48; const numpadPIDNZero = 96; for(var i = 0; i <= 9; i++){ pidnFilter.push(i + keypadPIDNZero); pidnFilter.push(i + numpadPIDNZero); } pidnFilter.push(8); pidnFilter.push(9); pidnFilter.push(46); pidnFilter.push(37); pidnFilter.push(39); /******************************************************* * replaceAll * returns a string where all occurrences of a * string 'search' are replaced with another * string 'replace' in a string 'src' *******************************************************/ function replaceAllPIDN(src,search,replace){ return src.split(search).join(replace); } /******************************************************* * formatPIDNText * returns a string that is in XXX-XX-XX-XXX.XX format *******************************************************/ function formatPIDNText(value){ value = this.replaceAllPIDN(value.trim(),"-",""); value = this.replaceAllPIDN(value.trim(),".",""); if(value.length > 3 && value.length <= 5) value = value.slice(0,3) + "-" + value.slice(3); else if(value.length > 5 && value.length <= 7) value = value.slice(0,3) + "-" + value.slice(3,5) + "-" + value.slice(5); else if(value.length > 7 && value.length <= 10) value = value.slice(0,3) + "-" + value.slice(3,5) + "-" + value.slice(5,7) + "-" + value.slice(7); else if(value.length > 10) value = value.slice(0,3) + "-" + value.slice(3,5) + "-" + value.slice(5,7) + "-" + value.slice(7,10) + "." + value.slice(10); return value; } /******************************************************* * validatePIDN * return true if the string 'p' is a valid PIDN *******************************************************/ function validatePIDN(p){ var PIDNRe = /^[0-9]{3}[-\s\.]{0,1}[0-9]{2}[-\s\.]{0,1}[0-9]{2}[-\s\.]{0,1}[0-9]{3}[-\s\.]{0,1}[0-9]{2}$/; var digits = p.replace(/\D/g, ""); return PIDNRe.test(digits); } /******************************************************* * onKeyDown(e) * when a key is pressed down, check if it is allowed * or not. If not allowed, prevent the key event * from propagating further *******************************************************/ function onPIDNKeyDown(e){ if(pidnFilter.indexOf(e.keyCode) < 0){ e.preventDefault(); return false; } } /******************************************************* * onKeyUp(e) * when a key is pressed up, grab the contents in that * input field, format them in line with XXX-XX-XX-XXX.XX * format and validate if the text is infact a complete * PIDN. Adjust the border color based on the * result of that validation *******************************************************/ function onPIDNKeyUp(e){ var input = e.target; var formatted = formatPIDNText(input.value); var isError = (validatePIDN(formatted) || formatted.length == 0); var color = (isError) ? "gray" : "red"; var borderWidth = (isError)? "1px" : "3px"; input.style.borderColor = color; input.style.borderWidth = borderWidth; input.value = formatted; } /******************************************************* * setupPIDNFields * Now let's rig up all the fields with the specified * 'idText' to work like PIDN input fields *******************************************************/ function setupPIDNFields(idText){ var input = document.getElementById(idText); input.addEventListener("keydown", onPIDNKeyDown); input.addEventListener("keyup", onPIDNKeyUp); } setupPIDNFields("e_2"); </script>

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45. 1. Receive an email copy of this form.
46. Email address

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