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2. 
3. Property Report Request Form
   
   Please fill in the below requested information as completely as possible.
   
   Please contact our office should you have any questions. (910) 347-4270
   
   Most responses are within 24 hours but please allow up to 2 business days for a response.
   
5. Name*
6. Email Address*
8. Address
10. City
11. State
12. Zip Code
14. Phone Number*
18. Select Which property reports you are interested in:*

    1. Fire Incidents
    2. Hazardous Materials Incidents
19. Address(es) You Are Requesting Information For (If Available)
21. Please Provide One Of The Following:
    Please provide at least one parcel identification number for each of the properties you are requesting information for.
23. NC PIN #
24. PAR ID #
25. Map Number
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field