2017 HARVEY FLOOD DAMAGE QUESTIONNAIRE
COST OF REPAIRS - Effective January 1, 2018
Property Physical Address:
If flood damage occurred, select the level of water in your structure:
more than 48 inches
Briefly explain how your property was impacted by the Flood of 2017. Indicate if structures
were damaged by flood water and/or if land only was affected.
Please indicate the damages remaining to your property as of January 1, 2018 and the cost to repair:
Type of Damage
Please be aware that in determining value adjustments, the overall market value will be determined by comparable market sales less the cost of repair
You can upload supporting documents here (PDF files or JPG images only). The total combined file size must be less than 15MB.
If you would like to send additional material documenting the damage and expenses, you can email it to our office at: email@example.com or mail it to:
811 Bradford Ave. Ste. 4A
Kemah, Texas 77565
Be sure to include your name, address and property tax account number.
I hereby certify that the above costs to repair are provided to the best of my knowledge and ability and I understand that checking this box constitutes a legal signature.
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