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Request For Verification Of Address Form

  1. Town of Windsor
    Darlene M. Plummer, PVA
  3. 1840 Simon Kenton Way Suite 3300
    Covington, KY 41011-2999
    Phone: (859) 392-1750
    Fax: (859) 392-1770
  4. Use this option if you do not have a file to upload
  5. (pursuant to KRS 134.490)
  6. Due upon receipt. Make check payable to:

    Kenton County PVA, 1840 Simon Kenton Way, Suite 3300, Covington, KY 41011-2999 (Please note requests will be processed after receipt of payment.) For questions, please call  859-392-1750

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  12. 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.
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