OFFICE OF THE LIEUTENANT GOVERNOR OFFICE OF THE TAX COLLECTOR 1105 King Street • Christiansted, Virgin Islands 00820 • 340.773.6449 • Fax 340.719.2355 5049 Kongens Gade • Charlotte Amalie, Virgin Islands 00802 • 340.774-2991 • Fax 340.779.7825 ________________________________________________________________________________________________ UNITED STATES VIRGIN ISLANDS REAL PROPERTY TAX AUCTION BIDDER REGISTRATION FORM Name of Bidder: Address: Home/Work Phone #: Cell Phone #: Email Address: NOTE: If you intend to bid on behalf of another person or entity, then you must submit identification for both yourself and the other person, along with notarized letter or power of attorney. GOVERNMENT-ISSUED PHOTO ID NUMBER Driver’s License Passport Birth Certificate Passport Card OTHER (explain) __ I have no outstanding real property or other US Virgin Islands tax obligations. __ I am aware that failing to follow through with purchase(s), may be grounds for being barred from future auction sales. __ I am submitting payment for the registration fee of $50.00. __ I am registering the day of the auction and I am submitting the late registration fee of $100.00. I declare, under penalty of perjury and the laws of the United States Virgin Islands that all information contained in this Registration Form, and any accompanying documents, are true and correct, with full knowledge that all statements made herein are subject to investigation and that any false or dishonest answer may be grounds for penalties pursuant to the fraudulent claims statute as set forth in 14 V.I.C. § 843. Bidder Signature: ___________________________ Date: _______________ Notes (Staff only): BIDDER NUMBER ASSIGNED SIGN GOVERNMENT OF THE UNITED STATES VIRGIN ISLANDS OFFICE OF THE LIEUTENANT GOVERNOR DIVISION OF REAL PROPERTY TAX 1105 King Street • Christiansted, Virgin Islands 00820 • 340-773-6449 • 5049 Kongens Gade • Charlotte Amalie, Virgin Islands 00802 • 340-774-2991 • *CREDIT CARD AUTHORIZATION FOR AUCTION REGISTRATION* Please print, sign and return this authorization form to our office. Auction registration receipt will be sent to the email address provided. Send registration form and payment by e-mail to: paymentplans@lgo.vi.gov, By Postal Mail: Office of the Tax Collector 5049 Kongens Gade Charlotte Amalie, VI 00802 ______________________________________________________________________________ ****************************************************************************** Date: _____________________ Cardholder Name: ___________________________________________________ Credit Card Type: VISA MASTERCARD Credit Card Number: ________________________________________________________ Expiration Date: ____________________ Card ID Number (3 digits located on the back of the credit card): ___________ Billing Address: _____________________________________________________ _____________________________________________________ _____________________________________________________ Contact Number : ______________________ Email: ________________________ Amount to be Charged: (USD)$________________ Signature: ______________________________________________________ SIGN