<form-template> <fields> <field type="text" subtype="text" required="true" label="TAX YEAR (yyyy)" class="form-control text-input" name="text-1580494925125"></field> <field type="text" subtype="text" required="true" label="PROPERTY OWNER" class="form-control text-input" name="text-1580494949264"></field> <field type="text" subtype="text" required="true" label="PROPERTY (CIVIC ADDRESS)" description="Enter the civic address of the property you are inquiring about. " class="form-control text-input" name="text-1580494973921"></field> <field type="text" subtype="email" required="true" label="EMAIL ADDRESS" class="form-control text-input" name="text-1580495029230"></field> <field type="text" subtype="text" required="true" label="PHONE NUMBER" description="Include your phone number, and preferred time of day to call. " class="form-control text-input" name="text-1580495057124"></field> <field type="text" subtype="text" required="true" label="LEGAL LAND DESCRIPTION" description="Example: Plan, Block, Lot, or ATS 1/4 Sec-Twp-Rng-Mer" class="form-control text-input" name="text-1580495129562"></field> <field type="text" subtype="text" required="true" label="PROPERTY ROLL #" class="form-control text-input" name="text-1580495278098"></field> <field type="radio-group" required="true" label="PROPERTY TYPE" class="radio-group" name="radio-group-1580504056287"> <option value="Residential (3 or less dwelling units)" selected="true">Residential (3 or less dwelling units)</option> <option value="Residential (4 or more dwelling units)">Residential (4 or more dwelling units)</option> <option value="Non-Residential">Non-Residential</option> <option value="Farmland">Farmland</option> <option value="Machinery and Equipment">Machinery and Equipment</option> </field> <field type="checkbox-group" label="MATTER OF COMPLAINT" class="checkbox-group" name="checkbox-group-1580504141894" enable-other="true" other="true"> <option value="The description of the property or business." selected="true">The description of the property or business.</option> <option value="The name or mailing address of an assessed person.">The name or mailing address of an assessed person.</option> <option value="An assessment amount.">An assessment amount.</option> <option value="An assessment sub-class.">An assessment sub-class.</option> <option value="Type of property.">Type of property.</option> <option value="Type of improvement.">Type of improvement.</option> <option value="School support. ">School support. </option> <option value="Whether they property or business is assessable.">Whether they property or business is assessable.</option> <option value="Whether the property or business is exempt from taxation.">Whether the property or business is exempt from taxation.</option> </field> <field type="textarea" required="true" label="PROVIDE DETAILS ABOUT YOUR INQUIRY" class="form-control text-area" name="textarea-1580495705723"></field> <field type="text" subtype="text" required="true" label="REQUESTED ASSESSMENT VALUE" description="($) Dollar amount. " class="form-control text-input" name="text-1580495729523"></field> <field type="checkbox-group" label="SECOND OPINION?" class="checkbox-group" name="checkbox-group-1580507450721"> <option value="YES" selected="true">YES</option> <option value="NO">NO</option> </field> </fields> </form-template> Submit Submitting...