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 •  
 
Apply to Parcel #:  
-
 ____ 
 ____  
-
 ____ 
 ____-
 ____  
         __
 
Signature:  
 
Apply to Other:
SIGN