Form Center

Request For Verification Of Address Form

2. 
3. PROPERTY VALUATION ADMINISTRATION
   Darlene M. Plummer, PVA
4. 1840 Simon Kenton Way Suite 3300
   Covington, KY 41011-2999
   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  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*
52. Check #*
53. Processed*
    Processed

    Processed
54. By*
55. Date Received*
    Date Received
Leave This Blank:


59. 1. Receive an email copy of this form.
60. Email address

    This field is not part of the form submission.

61. Submit

* indicates a required field