Fillable Colr Property Donation Form Little Rock Land Bank

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Colr Property Donation Form Little Rock Land Bank

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The Colr Property Donation Form Little Rock Land Bank form is 2 pages long and contains:

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Page 1 of 2
September 10, 2010
www.littlerock.org
Little Rock Land Bank
Property Donation Application
If you are interested in donating your property to the City of Little Rock’s Land Bank,
please complete this form and submit it to:
Little Rock Land Bank Commission
500 W. Markham, Suite 120W
Little Rock, Arkansas 72201
This form may only be completed by the owner of the property or by a person with
authorization to act on behalf of the owner by virtue of a power of attorney.
Property address: _________________________________________________________
Parcel No. (if known) _____________________________
Please provide the name and contact information for all the owners of the property:
Owner 1
Name: __________________________________________________________________
Address: ________________________________________________________________
City, State, Zip Code: ______________________________________________________
Home Phone: __________________________ Alternate Phone: ____________________
Email Address: ___________________________________________________________
Owner 2
Name: __________________________________________________________________
Address: ________________________________________________________________
City, State, Zipcode: ______________________________________________________
Home Phone: _________________________ Alternate Phone: ____________________
Page 2 of 2
September 10, 2010
www.littlerock.org
Email Address: ___________________________________________________________
(Please attach additional pages as needed for other owners)
Does this property have a structure on it? (Yes or No) _________________________
If there is a structure, is it occupied? (Yes or No) ______________________________
If it is not currently occupied, when was it last occupied? _______________________
______________________________
Signature
______________________________
Print Your Name
______________________________
Date
**NOTE: The City of Little Rock will research this property to determine if it meets the
Land Bank’s donation criteria. Prior to the final acceptance of the property by the City of
Little Rock, the City’s Board of Directors must approve the donation. The City will keep
you informed of its progress and final decision.
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Colr Property Donation Form Little Rock Land Bank

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Completed 17 November 2019

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