Fillable CITY OF BURLINGTON OFFICE OF THE ASSESSOR 149 (City of Burlington)

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CITY OF BURLINGTON OFFICE OF THE ASSESSOR 149 (City of Burlington)

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CITY OF BURLINGTON
OFFICE OF THE ASSESSOR
149 Church Street, Room 17
Burlington, VT 05401-8488
Tel. (802) 865-7114
Fax (802) 865-7116
www.burlingtonvt.gov/assessor
BUSINESS PERSONAL PROPERTY REGISTRATION FORM
Date: ____________________
Name of LLC, Corp., SP, Partnership: _____________________________________
DBA, Trade Name: _________________________________
Business Owner: _________________________________
Mailing Address: _________________________________
City/State/Zip: _________________________________
Location of Business: _________________________________
Date business opened: _________________________________
Contact Person: _________________________________
Telephone Number: _________________________________
What type of business: ___________________________________
___________________________________ Title : ______________________
Signature of Person
___________________________________
Printed Name
===========================================================================
For Office use only Date Stamp / Date Received
Assessor's Office
Received by: ____________
Date processed in AssessPro: _____________
Date processed in NEMRC: _____________
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CITY OF BURLINGTON OFFICE OF THE ASSESSOR 149 (City of Burlington)

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Completed 2 August 2020

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