MAP REQUEST FORM

Beverly Stivers
Property Valuation Administrator
 (502) 839-4061

Price $ 5.00 per map
Print this form,
fill it out
and mail it with a check made payable to:
  Anderson Co PVA    
101 Ollie Bowen Drive
Lawrenceburg, KY 40342 

Parcel Requested

Owner of Property _____________________________

Address of Property: _____________________________

Map # _________________________________________
Address and/or map number must be given.
Payment must be received prior to receipt of map.

Mail Map to:
Company Name:_______________________________   Date:______
Name:________________________________________
Address:______________________________________
City:__________________________________________
State:_______   Zip:__________
Phone:____________________________

Disclaimer
Maps are for Parcel Identification ONLY. Maps are not survey quality nor should they be considered legally binding in any way.
Map requests will be fulfilled promptly.
For Questions contact beverly_pva@adelphia.net.