Form Center

2. PETITION FOR ANNEXATION
   CITY OF CHELSEA, ALABAMA
   The undersigned owner(s) of the property described below, which is described in the attached “Exhibit A” and is contiguous to the corporate limits of Chelsea, Alabama,do hereby petition the town of Chelseato annex said property into the corporate limits of the municipality.
4. Name of Land Owner(s)
6. Property Address
8. Home Address City/State/Zip Code
10. Telephone Number(s)
12. Parcel ID Number
    (As listed on property tax notice)
14. Number of registered voters residing at this Parcel
16. SIGNATURE OF PROPERTY OWNER(S)
    (All owners listed on the deed must sign)
17. Date
    Date
19. SIGNATURE OF PROPERTY OWNER(S)
    (All owners listed on the deed must sign)
20. Date
    Date
22. SIGNATURE OF PROPERTY OWNER(S)
    (All owners listed on the deed must sign)
23. Date
    Date
27. PLEASE RETURN COMPLETED PETITION TO THE CITY CLERK AT CHELSEA CITY HALL, OR MAIL TO:
    Crystal Etheredge, City Clerk P.O. BOX 111, CHELSEA, AL 35043, Phone 205-678-8455, Ext. #3
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field