"Unlisted" Owner Name Submission Form

Acknowledgement: *

I understand and agree to the statement below.

https://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=SB2695&GA=112

I agree that I have read the “UNLISTED” bill linked above. I understand this bill suppresses the owner name on the Assessor of Property website. I also understand choosing to make my owner name “UNLISTED” does not preclude my name from being displayed in an Open Records request or in other web-based applications and products. Further, I certify I am the true owner of this property, and this is my primary residence, for which I am electing to digitally suppress the owner name.

We must receive valid & accurate information prior to processing the unlisted request.

Owner First Name: *

Owner Last Name: *

Owner Phone Number: *

Owner Email: *

Property Address Line 1: *

Property Address Line 2:

Property City: *

Property State: *

Property Zip Code: *

Identity Verification Documents: *

State law requires that your driver’s license must show your legal residential address. However, because it does not have to display on your license, you may submit proof of residency by other means listed below. It is the Assessor’s determination what sufficient information is accepted in his/her respective county.

OPTIONS:

1) Current Tennessee Driver's License
2) Current Tennessee Voter's Registration
3) Current utility bill including landline telephone, electric, water, gas, cable, etc..

Wireless telephone bills cannot be accepted.

Name of person who submitted this request: *

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Montgomery County Government | 1 Millennium Plaza | Clarksville, TN 37040 | Contact Directory

Montgomery County Government complies with the following Civil Rights statutes;
Titles VI, VII, and IX of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973,
Americans with Disabilities Act and the Age Discrimination Act of 1975.