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2. Requestor Information
4. Name*
5. Company (if applicable)
7. Address*
8. City/State/Zip*
10. Phone*
11. Email*
13. Are you the sole abutting owner?*

    1. Yes

    1. No
14. Is the property landlocked?*

    1. Yes

    1. No
16. Have you made a previous request for this property?*

    1. Yes

    1. No
17. If yes, when?
19. Have you previously spoken with someone at RCOC?*

    1. Yes

    1. No
20. If yes, who?
22. Request Property Information
24. Type of Release*

    1. Sale
    2. Exchange

    1. Easement
    2. Relinquishment of Easement

    1. Break in Limited Access
26. Property ID NO.*
28. County*
29. Township/City*
31. Address*
32. Nearest Cross Road*
34. Location*
36. Detailed Explanation of Request*
38. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
40. Electronic Signature*
41. Date*
43. Open Bidding
    Official Bid Form

    If RCOC is currently accepting bids on a property, please click on the link and complete the bid form before submitting this form.
Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field