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2021 Assessment Questionnaire

  1. ##-###-####

  2. Owner Occupied*

  3. Relative Occupied

  4. Rented

  5. Seasonally Used

  6. Select all that apply to your home:

  7. Flooring*

  8. Walls*

  9. Windows

  10. Heating*

  11. Air-Condition*

  12. Number of Bathrooms

    Half Bath is a sink & toilet; Full Bathroom is a sink & toilet & tub or shower; Deluxe Bathroom is a Full Bathroom plus a Jacuzzi

  13. Number of Bedrooms

  14. Please indicate type of structure and size of the building (garage 24 x 24, barn 36 x 72, grain bin 7500 bushels)

  15. Thank you for filling out our questionnaire. We appreciate your cooperation and look forward to seeing you again in five years. If you have questions, please call the assessor for your area.

  16. Leave This Blank:

  17. This field is not part of the form submission.