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Request For Verification Of Address Form

2. 
3. PROPERTY VALUATION ADMINISTRATION
   <center>Darlene M. Plummer, PVA</center>

   Darlene M. Plummer, PVA
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
8. Party requesting the information*
10. Today's Date*
    Today's Date
12. Please upload a list of Parcel IDentification Numbers
14. Type in the list of Parcel IDentification Numbers (PIDNs)
    Use this option if you do not have a file to upload
16. Number of address requests @ $2/address
    (pursuant to KRS 134.490)
18. Due upon receipt. Make check payable to:
    Kenton County PVA, 1840 Simon Kenton Way, Suite 3300, Covington, KY 41011-2999 (Please note requests will be processed after receipt of payment.) For questions, please call Ramona at 859-392-1750

    Kenton County PVA, 1840 Simon Kenton Way, Suite 3300, Covington, KY 41011-2999 (Please note requests will be processed after receipt of payment.) For questions, please call Ramona at 859-392-1750
20. Pay with PayPal invoice

    1. info.kentonpvay@kentoncounty.org

    Select this option if you would like to receive a PayPal invoice to pay with a credit card.
22. Please indicate the method of preferred delivery:
24. Mail To:
26. Address
28. City
29. State
30. Zip Code
34. Fax to:
36. Phone Number
37. Fax Number
41. Email to:
43. Email Address
45. 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.
47. Electronic Signature*
50. In Accordance with KRS 134.119 (8)
53. Check #*
54. Processed*
    Processed

    Processed
55. By*
56. Date Received*
    Date Received
58. <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_36"); setupPhoneFields("e_37"); </script>
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61. Email address

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