"
*
" indicates required fields
Owner's Information
Owners Email
*
Owner Type
*
Co-op-Condo owner
Corporation
Individual
Nonprofit
Partnership
Owner's Name
*
First
Last
Owner's Address
*
Street Address
City
State
ZIP / Postal Code
Business Name
*
Business Phone Number
*
Owner's Representative:
Email
*
Phone Number
*
Name
*
First
Last
Address
*
Street Address
City
State
ZIP / Postal Code
Building to be Filed Information
Building Borough Block Lot Number (BBL)
*
Building Identification Number (BIN)(Not Apartment BIN)
*
Building Address
*
Street Address
City
Zip
Date of payment
*
Time of payment
*
Amount to Pay:
Price:
Choose Payment method
*
Credit or Debit Card, CashApp
PayPal, Venmo
Card
*
Payment Method
*
PayPal Checkout
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number
Expiration Date
Security Code
Cardholder Name