Property Purchaser Application Jan 11, 2021 | Land Bank Forms Property Purchaser Application Name of Applicant * First and Last Name of corporation/business (if applicable) Mailing address * Street, city, state, zip code Phone Email Parcel ID # Property address Additional Adjoining Parcel ID # Planned Use of Property Occupy Sell Rent Land Contract Demo Side Yard Other Amount of Offer Estimated Cost of Construction/Renovation Signature of Applicant (You consent to signing this document electronically) Date Month/Day/Year If you are human, leave this field blank. Submit
