Leer of Informaon
Parcel #: ________________________ Date of Property Visit: _________________ Data Collector: ________________________
This is a generic form. Please complete all porons that apply to your property. For quesons contact Lancaster Co. Property Assessment at
(717)299-8381. Return within 10 days to 150 N Queen Street, Suite 310, Lancaster, PA 17603. Informaon will be esmated if not returned.
__________ Date: Owner Name(s): _______________________________________________ Phone #: __________________________
________ _________________ # Units: Date of occupancy: Property Address: ______________________________________________
SALE: Sale Date: ____________ Purchase Price: ____________ Deeded Acres: ____________
RESIDENCE: Builder & Model Name: ____________________________________________ Year Built: _______ # of Stories: _______
_______ # Wood or Gas Fireplaces: ____ x _______ or SF Open Ceiling (1st oor to 2nd) Total Square Footage: _______ ____
_______ _______ # Double Vanies: _______ # Addional Rooms: # Half Bath: #Full Bath: # Bedrooms: _______ _______
# Baths with Separate Tub & Shower: _______ # Addional Sinks (laundry, basement, garage, wet bar): _______
x _____ orBASEMENT: (circle one) None Paral Full If Paral: _____% _____ x _____ Finished Basement: _____
____ _____ Storage Above?_____ x Finished Area Above: GARAGE: (circle one) In Basement Aached Detached # Cars: _______
____ x _____ Sloped Ceiling?ATTIC: (circle one) None or pull down stair Floor & Stairs Only Finished If Finished: SF: _____
UTILITIES: (please circle one for each)
Water None Private Public Well
Sewer None Private Public Sepc
Gas None Propane Public
Electric None Available Hooked Up
HEATING:
%
None ______
Heat Pump ______
Forced Hot Air ______
Hot Water/Steam Radiators ______
Electric Baseboard/Radiant ______
Gravity Hot Air ______
Ceramic-Electric ______
Solar ______
COOLING:
%
None/Window Unit ______
Wall Unit ______
Central Air ______
Mini Split ______
FUEL :
%
Natural Gas ______
Propane ______
Electric ______
Oil ______
Solar ______
Wood ______
Coal ______
Other: __________ ______
x SINGLEWIDE - MANUFACTURED HOUSING: _____ Dimensions: _____
Make: ________________ Model: ________________ Serial #: ________________
_____ # Double Vanies: # Full Bath: _____ #Bedrooms: #Year Built: _______ _____
_____ # Wood or Gas Fireplace: # Half Bath: _____ # Addional Rooms: _____
Air Condioning: (circle one) None or Window Central Air Wall Unit Mini Split
Heang: (circle one) Forced Air Heat Pump Electric Baseboard Floor/Wall Furnace
Hot Water Solar Gravity Furnace
Fuel Type: (circle one) Natural Gas Propane Electric Oil Other: ______________
ROOF:
%
Asphalt Shingle
Metal
Rubber
Wood Shake
Slate
______
______
______
______
______
______ Other: __________
BUILDING PERMIT FOLLOW UP: _______________
Dimension: _____ x _____ or SF _______
Work Complete: yes no Date: _____________
_______________
Dimension: _____ x _____ or SF _______
Work Complete: yes no Date: _____________
POOL: Size: _____ x _____ or SF: _______
Material: (circle one) Vinyl Concrete
Fiberglass Other ______________
ADDITIONAL APPRAISER QUESTION(S):
@co.lancaster.pa.us
OTHER INFORMATION:
REMODELING: Year Cost
Exterior/Roof: _____ _______
Heang/Cooling: _____ _______
Kitchen/Bath: _____ _______
Basement: _____ _______
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Lancaster County Board of Assessment Appeals
150 North Queen Street, Suite 310
Lancaster, PA 17603
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