2. Please allow up to one business day for a response.
4. If parcel number is unknown, please provide the property address.
6. Parcel Number:
8. Property Address:
12. Requestor contact information:
14. Name:
15. Phone Number:
17. Email Address:
21. Payoff Date (Date City of Minot will receive funds if applicable):
    Payoff Date (Date City of Minot will receive funds if applicable):
23. Comments or additional information requested:
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25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

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