Fill - Free fillable Open Records Request for Abstracts Division of Property (Kansas Department of Revenue) PDF form

Division of Property Valuation

300 SW 29

Street

PO Box 3506

Topeka KS 66601-3506

Phone: 785-296-2365

Fax: 785-296-2320

www.ksrevenue.org

Laura Kelly, Governor

Page 1

PVD – 76 Abstract

Rev. 01/19

II. Requests for Customized Reports from Property Valuation Records:

(Provide a description of the information requesting.)

_________________________________________________________________________________________________________________________________

III. Out-put median and delivery options:

How do you wish to obtain information? E-Mail (electronic) U.S. Mail Priority Mail Fax Pick Up

IV. Signature – Before signing this document, read this section carefully

I do hereby certify that I will not: “(A) Use any list of names or addresses contained in or derived

from the records or information for the purpose of selling or offering for sale any property or service

to any person listed or to any person who resides at any address listed; or (B) sell, give or otherwise

make available to any person any list of names or addresses contained in or derived from the records

or information for the purpose of allowing that person to sell or offer for sale any property or service

to any person listed or to any person who resides at any address listed.” (K.S.A. 45-220(c)(2))

I have read and understand the policy as stated above and hereby agree to comply with the provisions and in my

capacity as (title), I am acting as the agent of (organization)

and have the authority to bind such organization.

___________________ __________________________

Signature: ________________________________________________________ Date: _______________________

Open Records Request for Abstracts

I. Requester’s Information: Instructions and Fees are provided at http://www.ksrevenue.org/prrecrequest.html.

Requester: ____________________________________ Company: ______________________________________________

Address::

______________________________________________________________________________________________________

Phone: (________) _____________________________________ Fax: (________) __________________________________

Email Address: __________________________________________________________________________________________

County Numbers and names are provided on page 3 of this form.

Statewide (check one): Yes No /

If no, list the county number(s) below.

______, ______, ______, ______, ______, ______, ______, ______, ______, ______, ______, ____

______, __

__, _______,

____, ______ , ______, ______, ______, ______, ______, ______, ______, ______, ______, ______,

Mark A. Burghart, Secretary

Instructions:

1. Complete this form, including signature and date. Provide a completed form for each request.

2. The division will provide records upon a direct match. If you have not provided enough information to establish a

direct match, the division will contact you requesting additional information.

3. Mail the request form to: Division of Property Valuation

Abstract Section

300 SW 29th Street

PO Box 3506

Topeka, KS 66601-3506

OR: fax to 785.296.2320

OR: send an e-mail to: kdor_pvd@ks.gov

The division will notify you of the fee(s) due. All fees should be paid by check or money order. Make the check

or money order payable to the “Kansas Department of Revenue/PVD”. Payment is required prior to the release of

the requested records. No refunds will be issued for requests made in error, or requests for records not on file.

Fees:

The following fee structure is for abstract data (value, tax and levy data).

Base Fee $75.00 for each year

Each record $0.025 for each record

Copy & Search Charge Fees: The 25-cent copy charge is a per page charge which is principally assessed to reimburse the

agency for routine costs of retrieving records which are requested with specificity and are held within the division’s

current file system. It does not include the cost of more than one-tenth of an hour of research or access time required to

determine the location of records not readily accessible, to determine what specific records meet request criteria, to access

records from archives and other similar necessary services. For such services in providing access or copies, the $25 per

hour search charge may be assessed, to be billed by the tenth of an hour.

Mail Charge Fee: The

mail char

ge may be as

sessed in addition to the base fee and each record fee. For up to and

including the first five pages, 40 cents may be charged, plus an additional 25 cents for up to and including each additional

five pages. If air express delivery is requested, you must provide a prepaid envelope or an account number for such

delivery.

Fax Fee: Generally, records may be faxed if the request is for records that are not confidential or restricted. The Fax

charge of 65 cents per page includes those services required in copying a record, in addition to domestic fax transmission

costs. No additional copy charge is assessed. Whether and to what extent records will be faxed is at the sole discretion of

the custodians.

The agency will provide an estimate of fees to be charged as soon as possible after receiving the request. The agency

reserves the right to require any estimated charge for access to or copies of records be received before work is performed

to produce the records in order to insure payment. While the agency will do its best to provide an accurate estimate of the

fees, it is possible that the records can be produced for less than the estimated amount. If so, any additional amounts will

be refunded. However, it is also possible that after the work is started, the agency will discover that the estimate is too

low. If this occurs, the agency will promptly inform the requestor of the revised estimate. The agency may require

advanced payment of any additional cost before continuing work to fulfil the request.

Fees may be waived at the discretion of the Secretary of Revenue, Division Director or the Official Records Custodian.

Criteria for waiver include but are not limited to the size and clarity of the request, availability of records, difficulty and

time required to access the records and whether the use or distribution of the records is determined by the Secretary of

Revenue or custodians to significantly benefit the Kansas Department of Revenue or the general public.

County Number with County Name

Co. #

Co.

Abbr.

County Co. #

Co.

Abbr.

County Co. #

Co.

Abbr.

County

001 AL Allen

002 AN Anderson

003 AT Atchison

004 BA Barber

005 BT Barton

006 BB Bourbon

007 BR Brown

008 BU Butler

009 CS Chase

010 CQ Chautauqua

011 CK Cherokee

012 CN Cheyenne

013 CA Clark

014 CY Clay

015 CD Cloud

016 CF Coffey

017 CM Comanche

018 CL Cowley

019 CR Crawford

020 DC Decatur

021 DK Dickinson

022 DP Doniphan

023 DG Douglas

024 ED Edwards

025 EK Elk

026 EL Ellis

027 EW Ellsworth

028 FI Finney

029 FO Ford

030 FR Franklin

031 GE Geary

032 GO Gove

033 GH Graham

034 GT Grant

035 GY Gray

036 GL Greeley

037 GW Greenwood

038 HM Hamilton

039 HP Harper

040 HV Harvey

041 HS Haskell

042 HG Hodgeman

043 JA Jackson

044 JF Jefferson

045 JW Jewell

046 JO Johnson

047 KE Kearny

048 KM Kingman

049 KW Kiowa

050 LB Labette

051 LE Lane

052 LV Leavenworth

053 LC Lincoln

054 LN Linn

055 LG Logan

056 LY Lyon

057 MN Marion

058 MS Marshall

059 MP McPherson

060 ME Meade

061 MI Miami

062 MC Mitchell

063 MG Montgomery

064 MR Morris

065 MT Morton

066 NM Nemaha

067 NO Neosho

068 NS Ness

069 NT Norton

070 OS Osage

071 OB Osborne

072 OT Ottawa

073 PN Pawnee

074 PL Phillips

075 PT Pottawatomie

076 PR Pratt

077 RA Rawlins

078 RN Reno

079 RP Republic

080 RC Rice

081 RL Riley

082 RO Rooks

083 RH Rush

084 RS Russell

085 SA Saline

086 SC Scott

087 SG Sedgwick

088 SW Seward

089 SN Shawnee

090 SD Sheridan

091 SH Sherman

092 SM Smith

093 SF Stafford

094 ST Stanton

095 SV Stevens

096 SU Sumner

097 TH Thomas

098 TR Trego

099 WB Wabaunsee

100 WA Wallace

101 WS Washington

102 WH Wichita

103 WL Wilson

104 WO Woodson

105 WY Wyandotte

Fees and Procedures

Written Request: The agency requires any request for access or copies to be in writing so as to adequately document the

request, to clarify exactly what records are sought and to determine the requester's right to access. Such written request

shall state the requester's name and address, information necessary to ascertain the records to which the requester desires

access and the requester's right to access. (For public records which are not confidential or may not be discretionarily

closed pursuant to K.S.A. 45-221 or other law, it will be sufficient to state "Kansas open records act, K.S.A. 45-215 et

seq.," as the requester's right to access.) Identification of records sought must be as specific as possible to aid in identifying

the record sought. Requests will be honored for documents in existence at the time of the request. Documents may not be

requested prospectively. Optionally, to aid in contacting the requester, a daytime telephone number should be provided.

Request Form: PVD 75 – KSCAMA Request for Copies or Access (Property Valuation Records)

PVD 76 – Abstract Request for value, tax and levy data (Property Valuation Records)

The forms are available on the Kansas Department of Revenue web site at: http://www.ksrevenue.org/prrecrequest.html.

These forms were designed to assist the requester in submitting all the necessary information so that the department can

determine the requester’s right to access. Written requests submitted to the department in other formats will not be denied;

however, the department may need to gather additional information.

Response Time: The agency will act on requests as soon as possible; however, if it appears it will take some time to

provide records or notification of fees is required, a response will be provided within three business days of the request,

estimating fees and providing further information regarding the agency's ability and plans to provide the requested

records.

Fees – Record/Programming: In accordance with K.S.A. 74-2022 the Secretary of Revenue, in conjunction with the

Division of Property Valuation has established the following fee schedule for data contained in the Kansas computer

assisted mass appraisal system (KSCAMA System).

K.S.A. 74-2022 States in part: Electronic databases fee fund; access fees for department of revenue

information; disposition of funds. (a) The secretary of revenue is hereby authorized to fix, charge and collect fees to

provide access to or to furnish copies of data constitution public records in the . . . Kansas computer assisted mass

appraisal system (KS CAMA) and other electronic database systems of the department of revenue. All such fees shall

be fixed in order to recover all or part of the costs incurred to operate, maintain and improve the specific electronic

database system in which the data are stored or maintained, including the costs incurred to provide access to or

furnishing copies of such data. The fees fixed pursuant to this section shall not be subject to the provision of K.S.A.

45-219 and amendments thereto.