Secure Application Apply in 5 Minutes Please provide us with your contact information so that we know where and how to get a hold of you once we have reviewed your application. First Name Last Name Email Phone How would you prefer that we get in touch with you? (Check all that apply) Phone Call SMS Text Email If there is something about your application that we need to discuss with you, may we call you to make sure that we are working with accurate information? Yes No Date of Birth Marital Status N/A Married Unmarried Separated Bankruptcy No Yes Ch. 7 Yes Ch. 13 Yes Ch. 11 Tax Lawsuit No Yes Which property would you like us to pay the property taxes for? Property Address City State Zip Code Estimated Property Tax Due Do you currently have any outstanding property tax loans on this property? Yes No Have you ever had a property tax loan before? Yes No Do you own multiple properties that require a tax loan? Yes No We will contact you at the number or email you provided on the previous page to obtain the information on other properties, or you can write in the addresses under OTHER NOTES on the next tab. Help us collect just a few more pieces of pertinent information. Are you married? Yes No Are you currently in bankruptcy? Yes No Has the county already filed a tax lawsuit against you? Yes No What is your age? Is there anything else that you think we should know? Send Secure Application Apply in 5 Minutes First Name Last Name Email Phone Date of Birth Marital Status N/A Married Unmarried Separated Bankruptcy No Yes Ch. 7 Yes Ch. 13 Yes Ch. 11 Tax Lawsuit No Yes Estimated Tax Due Property Address City State Zip Code Send