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2. St. Charles County Assessor's Office
   Scott Shipman, Assessor
   Ph: 636-949-7431
   
   This notification informs the property owner that a representative from the Assessor's Office was present at the property today. We are in the process of collecting data on your newly constructed home.
4. First Name
5. Last Name
7. Address1
9. Address2
11. City
12. State
13. Zip
15. Parcel Number
17. The following information on the above-referenced property is needed to accurately determine the value of your property.
19. Basement

    1. Full
    2. Part

    1. Slab
    2. Crawl
20. Square Feet or Percentage of Basement Finished
22. Fire repair or remodeling - call with details.
    
    The following information could not be obtained due to lack of access.
    
    Please call with permission to enter the property or to provide specific information.
24. Deck / Patio / Porch / Sunroom
25. Garage / Shed / Outbuilding
27. Swimming Pool / Pool House
28. House
30. Room Addition
31. Other
33. Total Number of Bedrooms
    Above basement.
34. Number of Total Baths (1/2 Baths)
36. Number of Total Baths (Full Baths)
37. In Master Bath

    1. Double Sinks
    2. Seperate Tub and Shower
39. Basic or Pub Style Wet Bar or Kitchenette
40. Laundry Room Sink

    1. Yes

    1. No
42. Total Number of Fireplace Openings
43. Closing or Move-In Date
    Closing or Move-In Date
45. Comments
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 Submit and Print

* indicates a required field