Request For Annual 911 Affidavit

Name*

Phone Number*

E-mail*

Parcel Number/ Map Number

(This number can be found on your tax bill, or you can look it up online on our website boonepva.ky.gov)

Address of Non-Owner Occupied Unit*

Are there multiple units on this parcel?*

Yes

No

If Yes, list number of units

I would like to have the Affidavit*

Emailed

Mailed

Send me a copy of my responses

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