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No-Knock Address Registry Form

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This form has been modified since it was saved. Please review all fields before submitting.

House Number*
Example: 123
Direction
N, S, W or E
Street Name*
Example: Main Street
Email Address*
Used for confirmation only.
I affirm that I am an owner or occupant of the residence, and am making the request on behalf of myself and/or any other occupant at this address.*
1. Yes
2. No