Real Estate Name Removal Request

1. Complete and submit this online form to request removal of name from the publicly available Roanoke County website with regards to real estate ownership.

2. Email Address:

3. Name:*

4. Street Address:*

5. City:*

6. State:*

7. ZIP Code:*

8. Please fill in the following for the parcel currently owned within the boundaries of Roanoke County, Virginia:

9. Parcel ID:*

10. Owner Names:*

11. Street Address:*

12. City:*

13. State:*

14. ZIP Code:*

15. I am writing to authorize Roanoke County, VA to remove my name from the publicly available websites with regards to real estate ownership that are part of the Roanoke County web presence.

16. Reason for Name Removal:*

17. By submitting this request I understand that said property or properties will be listed with no name once the request is processed. Anyone can still find the property by searching for the street or address. I also understand that this does not prevent someone from requesting the information in person at the County of Roanoke offices. Additionally, I must notify the County if I move, no longer have privacy concerns or acquire additional properties in the county. Check YES if you agree.*
    1. Yes
Leave This Blank:


18. 1. Receive email copy
19. Email address

20. Submit Submit and Print

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