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New Construction Information Form

2. You do not need to create a Civic Plus sign-in account to complete the form.

6. Date*

8. Parcel Identifier Number*

10. Location Address*

12. Mailing Address*

14. City*

15. State*

16. Zip*

18. Propert Owner Name(s)*

19. E-mail Address*

23. Date of Occupancy*

25. Number of Stories*
    -- Select One --One Story1.5 Story2 StoryOther

26. Stories (Other)*

28. Basement Area Under Living Space*
    -- Select One --0% - 25%26% - 50%51% - 75%76% - 100%Other

29. Basement Area Under Living Space (Other)*

31. Total Number of Living Rooms*
    -- Select One --123Other

32. Living Rooms (Other)*

34. Total Number of Bathrooms*
    -- Select One --12345Other

35. Bathrooms (Other)*

37. Total Number of Half Bathrooms *
    -- Select One --01234Other

38. Half Bathrooms (Other)*

40. Total Number of Bedrooms*
    -- Select One --12345Other

41. Bedrooms (Other)*

43. Total Number of Kitchens*
    -- Select One --123Other

44. Kitchen (Other)*

46. Total Number of Dining Rooms*
    -- Select One --123Other

47. Dining Rooms (Other)*

49. Other Rooms: (office, study, etc.)*

51. Attached Garage*
    -- Select One --No Garage1 car2 car3 car4 car5 carOther

52. Attached Garage (Other)*

54. Detached Garage*
    -- Select One --No Detached Garage1 car2 car3 car4 car5 carOther

55. Detached Garage (Other)*

57. Finished living area over garage indicate square footage or percentage finished*

58. Finished Basement indicate square footage or percentage finished:*

62. Heating System*

    1. Electric
    2. Geothermal
    3. Gas
    4. Heat Pump
    5. Oil
    6. Other

63. Heating System (Other)*

65. Heating Distribution*

    1. Baseboard
    2. Force Air
    3. Hot Water
    4. Radiant
    5. Other

66. Heating Distribution (Other)*

68. Water Source*
    -- Select One --PublicPrivate WellOther

69. Water Source (Other)*

71. Sewage*
    -- Select One --PublicSepticOther

72. Sewage (Other) *

74. Central Air*
    -- Select One --YesNo

75. Number of Fireplaces*

79. Failure to complete this form will result in information being estimated for taxing purposes.
    If you would prefer to contact the Assessment Office directly or have any questions please call 814-355-6721 or email at: assessment@centrecountypa.gov - Please allow 48 hours for a response.

    If you would prefer to contact the Assessment Office directly or have any questions please call 814-355-6721 or email at: assessment@centrecountypa.gov - Please allow 48 hours for a response.

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83. 1. Receive an email copy of this form.
84. Email address

    This field is not part of the form submission.

85. Submit

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