Charlotte Douglas International Airport Information Survey Master Plan Are you interested in selling your property to the airport? Yes No Name of property owner(s): _________________________________________________________________________ Last First Middle Phone (home) Phone (work) _________________________________________________________________________ Last First Middle Phone (home) Phone (work) Date of birth of owners: ___________________________________________________ Property address: _____________________________________________________ Charlotte, North Carolina 28______ Date of property purchase: __________________ What is the total number of occupants of your property? __________________ Mailing address of property owner (if different) _____________________________________________________________________ What is the current use of this property? ___ Residential ___ Commercial ___ Vacant If this is a rental property, give names and telephone numbers of tenants and the date they moved into the property: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Do you own property other than your residence in this immediate area? Yes No If yes, please provide address: ____________________________________________ _______________________________ Property Owner Signature ______________________________ Property Owner Signature Date signed _____________________ Mail completed form to: Charlotte Douglas International Airport Community Programs Office P.O. Box 19066 Charlotte, NC 28219