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2. About the Property
   Please fill out the information about the property below.
4. PIN
   (AKA Assessor Account Number)
5. Property Owner
7. Party Redeeming Property
8. Note
   Redeemer must be the owner / occupant or a person / entity prescribed in Section 140.340 RSMo.
10. Property Address
12. Address Line 2
14. City
15. State
16. ZIP
20. Redeemer's Contact Information
    Please enter the redeemer's contact information below.
22. Name
23. Phone #1
25. Phone #2
26. Email
28. Address Line 1
30. Address Line 2
32. City
33. State
34. ZIP
36. Anticipated Redemption Month and Year
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field