Property Assessment Request Form – Town of Kernersville

This form is designated for requests of information relating to properties within the town limits of Kernersville on information relating to code violations and/or hazardous conditions.

Property Records Request

Fields marked with an * are required

Property Information

Address *

City *

Zip *

Contact Information

First Name *

Last Name *

Requesting Organization

Email *

Phone *

Request Information

Records Requested *

Please list the types of records that you are requesting.

Organization Form Attached

If your organization has an internal records form you would like to use, check this box and you will receive instructions on how to submit your form via email.

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