Property Status

Solid Waste Disposal Authority of Baldwin County, AL, Inc. Service Request

Property Status Form
*required fields

Account Number

Contact Information

*First Name

Middle Initial

*Owner's Last Name

*Phone Number

Alternate Number

Email

Mailing Address

*Address

*City

Zip Code

State

Check if same

Physical address is the same as mailing address

Physical Address

*Address

*City

Zip Code

State

I own property in the unincorporated area of Baldwin County and hereby apply for a vacancy exemption from payment and that NO solid waste is being generated. The status of said mentioned property is as follows:

Cannot Occupy

Uninhabitable

Land Only

No Structure(s)

Family Land / Estate

Dispute

Temporarily Away

Temporarily Vacant

Rental / For Sale

Unoccupied

Something Else

Other

*Explanation

*Acknowledgement

I hereby certify that I am the owner of this property or the legal representative of the property owner and that the above information is true and correct to the best of my knowledge and I hereby give permission for the Baldwin County Health Department AND the Baldwin County Commission or its designee to investigate any and all of the above information.

I acknowledge that it is a Class C Felony to falsely complete a written instrument required by a public office. (Alabama Criminal Code 13-A-9-3). ****RETURN THIS FORM TO THE AVOVE MENTIONED ADDRESS****

*Date Vacated

*Owner / Designee's name submitting the request

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