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INITIAL BIDDER’S FORM
PLEASE COMPLETE THE FOLLOWING INFORMATION INCOMPLETE FORMS WILL BE
RETURNED UNPROCESSED
AUCTION BIDDER INFORMATION
Name of Bidder: _______________________________________________________________________
Address of Bidder (No P.O. Boxes): ________________________________________________
________________________________________________
________________________________________________
Name of Employer for Bidder: ________________________________________________
Address: ________________________________________________
________________________________________________
Telephone number:
Home: ______________________ Work: ______________________
Social security number: _______________________________________________
If you are a successful bidder, you will be required to attach a list, which itemizes all addresses of any
real estate in which you have an indirect or direct interest. This includes parcels held by any corporation,
company, or partnership in which you or a family member is an officer or shareholder.
NOTICE: As a bidder on the above tax delinquent property you must submit this sworn affidavit which
will become part of the court record in this tax delinquent sale proceeding. Successful bidders will be
required to submit additional information before the actual transfer of property occurs.
AFFIDAVIT
I hereby swear that:
I have no outstanding environmental code, building code, or zoning code Notices of Violation issued by the
City of Richmond against any property owned or controlled by myself as an individual, or any company,
corporation, or partnership named above in which I or any of my family is a shareholder or officer.
I am current on all real estate taxes, personal property taxes, business license fees, meals taxes, lodgings or
admissions taxes, whether as an individual, company, corporation, or partnership as named above.
All the information that I have provided is true and correct and that if I am the successful bidder I am
accepting the responsibility without condition for paying yearly real estate taxes and maintaining the
property in accordance with all local and state property maintenance laws. Any false statement submitted
by me on this Bidder’s Form may result in the City of Richmond pursuing all remedies available at law and
the cancellation of my bid.
_________________________________________ Date____________________________
COMMONWEALTH OF VIRGINIA
CITY OF RICHMOND, to wit:
The foregoing___________________________personally appeared before me and acknowledged
this to be his true signature this ________day of ___________2005.
Notary public:_________________________________
My commission expires:_________________________
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