Number _________ (to be given out morning of Tax Sale)
TOWN OF NORTH PROVIDENCE
REGISTRATION FOR TAX SALE MAY 16, 2019
PLEASE COMPLETELY FILL OUT and deliver/mail form to Tax Collection Office no later than
12:00PM, May 10, 2019.
SOCIAL SECURITY NO: _____________________________________________
Name as shown on Income Tax return: _____________________________________
NAME (to be purchased under)________________________________________
ADDRESS: ___________________________________________________
______________________________________________________________
CONTACT NAME: (if different from above) ___________________________________
ADDRESS: (if different from above__________________________________________
_____________________________________________________________
TELEPHONE: _________________________ FAX: _____________________
DO NOT FILL IN BELOW THIS LINE
TAXES CURRENT ________________________________________________
Tax Collector or Authorized signature only
DATE ________________________________