2. City of Kingsburg Finance Department
   1401 Draper Street Kingsburg, CA 93631 Phone: 559-897-5821 Fax: 559-897-5568
3. Date
   Date
4. Fee
   $250 per property
5. Yearly Renewal Fee
   $100
7. Received by
8. Check Number
10. Registration Form for Abandoned Residential Property
    One registration form must be completed for each property registered
12. Address of Abandoned Property
14. City
15. State
16. Zip Code
18. APN
19. Notice of Default Recordation
    Please attach copy to this form
21. Lender/Lien Holder
23. Contact Person
24. Contact Phone
26. Lender/Lien Holder Mailing Address
28. City
29. State
30. Zip Code
32. Property Manager
33. Business License Number
35. Contact Person
36. Contact Phone
38. Property Manager Mailing Address
40. City
41. State
42. Zip Code
44. Lender/Lien Holder Signature*

    By checking the box below I am agreeing that the information I have provided on this form is correct to the best of my knowledge.

    1. I Agree
46. Date
    Date
47. Renewal
    This registration must be updated yearly. The renewal fee is $100
Leave This Blank:


49. 1. Receive an email copy of this form.
50. Email address

    This field is not part of the form submission.

51. Submit

* indicates a required field