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2. 
3. Kaufman County, Texas

   Development Services 9-1-1 Address Verification

5. Address Verification

   Kaufman County Development Services is the addressing Authority for Kaufman County. Kaufman County. Appraisal District (CAD) or other entities may have addressing information that is outdated or incorrect. Verification of 911 Addresses must come from Kaufman County.

7. Date*
   Date
9. Name*
10. Phone Number*
12. Email Address*
14. Address*
16. City*
17. Zip Code*
21. PROPERTY IDENTIFICATION

    Please provide any information that might assist in determining the property to which an address verification is requested.

23. Property ID# (from County Appraisal District):*
25. Road where property is accessed:*
27. Subdivision Name*
28. Subdivision Phase*
29. Subdivision Lot*
31. Nearest Intersection*
35. Nearest Neighbor Information
37. Name & Address
39. To your knowledge was/is the address assigned to a specific structure?
41. TYPE OF ADDRESS*

    1. MFG Home
    2. Frame Home
    3. Commercial

    1. Barn/Shed
    2. Other
43. If you selected Other, please explain*

45. Information gathered is used to help identify the property that an address verification is being requested. Addresses are not a legal description of property. Addresses are assigned to direct emergency responders, and others to identify property, entrances, and/or structures. As property is divided or sold entrances changed and/or structures added or removed the numerical assignments may need to be adjusted in type, shifted in location, or changed. Significant changes may result in a fee not to exceed the fee for a new address point.

47. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
49. Electronic Signature*
50. Date Submitted*
    Date Submitted

52. If you check the box: Receive an email copy of this form. You’ll receive an e-mail from NoReplyCivicPlus.com.

Leave This Blank:


54. 1. Receive an email copy of this form.
55. Email address

    This field is not part of the form submission.

56. Submit

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