Freedom of Information Law (FOIL) Requests

2. Name*

3. Date*
   Date

5. Address*

7. City

8. State

9. Zip Code

11. Phone Number*

12. Email Address

14. I hereby apply to receive the following record(s):

    Whenever possible, please include the Tax Map ID number and property address of any parcel of land about which you are inquiring.

16. Notice: You have the right to appeal a DENIAL of this application to the Town Board of the Town of Southeast, 1360 Route 22, Brewster NY, 10509; Phone number for the Town Board is (845) 279-4313.

18. Disclaimer*

    By checking the "I agree" box below, you guarantee that any lists will not be used for commercial purposes.

    1. I agree.
Leave This Blank:


20. 1. Receive email copy
21. Email address

    This field is not part of the form submission.

22. Submit Submit and Print

* indicates a required field