Deed Restriction Modification or Removal Request Form - Department of Citywide Administrative Services

Department of Citywide Administrative Services


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Private Space Leased by the City

City Purchase of Private Property

Deed Restrictions

Deed Restriction Modification or Removal Form

Event Space Rental

RFPs, RFBs, RFEIs

Film with DCAS

DCAS Managed Public Buildings

70 Mulberry St. Advisory Committee


Deed Restriction Modification or Removal Request Form

If you own a property that was sold by the City with a deed restriction, and you wish to modify or remove this restriction, you can submit a request using the form below. Before submitting your request, be sure to carefully review the instructions and disclosure documents.

* Indicates required fields. Enter N/A if field is not applicable.

Property Owner

Property Owner Name*

Property Owner Email*

Property Owner Phone*

Property Owner Mailing Address*

Contact

Contact Name*

Contact Email*

Contact Phone*

Contact Mailing Address*

Property Address

Any Commonly Known Name of the Property*

Address*

City*

State*

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District of Columbia

Florida

Georgia

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey

New Mexico

New York

North Carolina

North Dakota

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

ZIP*

Borough, Block, and Lot(s) of the Property*

Description

Reason for Request*

Description of Any Proposed Development or Sale of Property to a Third Party*

Description of the Use of the Property Since the Property Owner's Purchase*

The Date by Which the Property Owner Seeks to Have the Requested Modification or Removal Take Effect*

Any Other Federal, State or Local Governmental Actions Taken, Pending, or Necessary for Such Modification or Removal*

Federal or State Tax Identification Number*

If the property owner is a corporation, limited liability company, or partnership, identify the names of any individuals whose share of ownership in the corporation, limited liability company, or partnership is 20 percent or more*

Comments*

Certification*

I hereby certify that the information provided in this intake form is accurate. I understand that I have an affirmative duty to promptly report any changes in or additions to this information to the Department of Citywide Administrative Services. I hereby certify that I am either the property owner or an authorized representative of the property owner.

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