G R A N T P A Y M E N T R E Q U E S T F O R M
I n s t r u c t i o n s
1) Complete Taxpayer Section. Please fill in all requested information.
a) The address of actual location of property or facility should be inside the Airport Development
Area.
b) Enter your Taxpayer Identification or Social Security Number.
Important: This is required of all requests. If the business is a proprietorship, enter the
Social Security Number of the owner.
c) Check the airport related business. If your airport related business is not listed, please explain
what the business is in the space provided.
d) List the account number from your tax bill or the tax receipt number from your receipt of taxes
paid. Please attach a copy of the bill or receipt to the Form.
e) Property owner’s signature is required.
2) Mail the completed Form on or before March 30, 2013, with the supporting documentation, to the Rowan County
Finance Department at the address below:
Rowan County Finance Department
Attention: Suzanne Burgess
130 West Innes Street
Salisbury, NC 28144
If you have any questions, please call Suzanne Burgess at 704-216-8178.
Once the County approves the Grant Payment Request Form, the Finance Department will mail a check
for the County’s portion, with explanation of incentive grant calculation, to the mailing address on the
Form. The County will then forward the information to the City. The Taxpayer will receive a separate
check from the City.