Required fields are marked with asterisks (*)

Request for a Duplicate Bill, Tax Receipt, or Water Statements

Please complete the following form to request a duplicate bill, tax receipt, or water statement.

I would like to receive the following:

Tax receipt for income tax purposes ($10.00)

Duplicate water utilities bill ($10.00)

Duplicate property tax bill ($10.00)

First Name

Last Name

Email Address

Phone Number

Property Address

How would you like to receive your document:

Pick-up at LV Office

Via mail

Via email

If you chose mail, please provide your preferred mailing address.

Additional Comments or Notes

Form Builder