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2. LANCASTER COUNTY TAX CLAIM BUREAU - Bidder Registration
3. Sale Date*
   Sale Date
5. Bidder Information
6. (Whomever is listed as a Bidder, MUST BE present on the day of the Sale)
8. Bidder 1

   1. Individual

   1. Organization
9. Bidder 2

   1. Individual

   1. Organization
11. Last, First, Middle, Suffix
12. Last, First, Middle, Suffix
16. Address:

    1. US Address

    1. Foreign Address
17. Address:

    1. US Address

    1. Foreign Address
20. 1. Same as Bidder 1
22. Address
23. Address
25. City
26. City
28. State
29. Zip Code
30. State
31. Zip Code
35. Phone Number(s)
36. Phone Number(s)
38. Home
39. Work
40. Home
41. Work
43. Cell
45. Cell
49. Date of Birth
    Date of Birth
50. Date of Birth
    Date of Birth
54. Form of ID:
55. Form of ID:
57. ID Form
58. ID Form
60. ID Number
61. ID Number
63. Other ID Type
64. Other ID Type
68. Notes: (Please note additional information)
69. Notes: (Please note additional information)
73. Deed Information (Select one)
75. Deed Information (Select one)

    1. TENANTS by the ENTIRITIES
    2. JOINT TENANTS with the RIGHT of SURVIVORSHIP
    3. TENANTS in COMMON
    4. OTHER
76. Other Information
78. PROPERTY TO BE DEEDED TO
79. PHONE NUMBER(s)
81. Name
82. Home
83. Work
86. Cell
88. Name
89. Home
90. Work
93. Cell
95. Name
96. Home
97. Work
100. Cell
102. ADDRESS OF RECORD FOR DEEDED PROPERTY
104. Address:
106. City
108. State
109. Zip Code
113. Additional Information
117. 1. ARE YOU TAX EXEMPT? (i.e. Government Office):
118. If this box is checked, proof of exemption must be provided.
122. I have read the Bidder Registration form. I swear and affirm all information contained thereon to be true and accurate.
124. Signature
125. Signature
127. Signature
129. Send button
Leave This Blank:


131. 1. Receive an email copy of this form.
132. Email address

     This field is not part of the form submission.

133. Submit

* indicates a required field