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2. RESIDENTIAL PROPERTY REVIEW REQUEST FORM

   If requesting review of more than one property, please submit on individual forms. All applicable fields must be completed. Please note that the BURDEN OF PROOF is on the property owner and all forms must meet statutory requirements to be considered.

4. Property Owner Name*
5. Email Address
7. Property Address*
8. City*
   -- Select One --BromleyCovingtonCrescent Springs Crestview Hills EdgewoodElsmereErlangerFairviewFt. Mitchell Ft. Wright IndependenceKenton ValeLakeside Park LudlowMorning ViewPark HillsRyland Heights Taylor Mill UnincorporatedVilla Hills Walton
10. Parcel IDentification Number (PIDN) If Known
12. Phone Number*
14. Opinion of property value $*
    (REQUIRED BY STATUTE; FORM CONSIDERED INVALID WITHOUT)
16. Year built
17. Full Baths
    -- Select One --123455+
18. Half Baths
    -- Select One --1234
19. Bedrooms
    -- Select One --123455+
21. Air conditioning
    -- Select One --NoneCentralWall/Window unitsCentral Air & Wall/Window unitsGeo-Thermal
22. Heat type
    -- Select One --UnknownNoneNatural GasElectricBottled GasCoalOilWoodOther / See FileDuel Fuel
23. Foundation
    -- Select One --SlabBlockPouredPost & PierBrick/StoneOther
25. Basement type
    -- Select One --NoneFullPartialCrawlPartial/Crawl
26. Basement finish
    -- Select One --No BasementAll finished3/4 Finished1/2 Finished1/4 FinishedUnfinished
28. Square footage
    (approx.; based on exterior dimensions)
29. Upload Document

    (email additional documents to:  appeals@kentoncounty.org)

31. INFORMATION TO SUPPORT OWNER OPINION OF VALUE (ANY FACTUAL EVIDENCE AND/OR SUPPORTING DOCUMENTS MUST BE SUBMITTED WITH THIS REVIEW REQUEST FORM.)
37. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) 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 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
39. Electronic Signature*
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field