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TAX REIMBURSEMENT FORM
To facilitate the processing of your property tax reimbursement (if prescribed in your lease agreement), please complete one tax reimbursement form for each property tax reimbursement requested. Please attach the documents necessary for the processing of your request (see list below).
Date: ________________________________________________
SBA Side ID Number: ________________________________________________
Name & Address of person or
Jurisdiction to be reimbursed/paid: ________________________________________________
Street Address: ________________________________________________
Street Address: ________________________________________________
City, State & Zip Code: ________________________________________________
Documents Supplied:
Copy of relevant tax bills: _______
Letter from Assessor: _______
Property Card/Parcel Record Card: _______
Proof of Tax Payment: _______
Comments:
Use the contact information below:
Email to: PropertyTax@
Fax to: 561-226-3529
Telephone: (800) 487-7483, Ext. 9324
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