Transactional Disclosure Form - Town of Brookhaven 2026

1. Click ‘Get Form’ to open the Transactional Disclosure Form in our editor.
2. Begin by filling in your personal information, including your name, address, city, state, zip code, telephone number, email, and fax number.
3. Indicate whether you are submitting the form as an individual, corporation, partnership, or association by checking the appropriate box.
4. Specify the nature of your application by selecting one of the options provided such as Property Assessment Grievance or License/Permit affecting real property.
5. Provide the affected parcel's address where indicated.
6. Answer the question regarding any interest from Town officers or employees. If 'Yes', complete the relevant section for individuals or corporations as applicable.
7. Finally, print your name and date at the bottom of the form and provide your signature to finalize your submission.

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