Little Rock Land Bank Property Donation Application

This form may only be completed by the owner of the property or by a person with authorization to act on behalf of the owner by virtue of a power of attorney.

**NOTE: The City of Little Rock will research this property to determine if it meets the Land Bank’s donation criteria. Prior to the final acceptance of the property by the City of Little Rock, the City’s Board of Directors must approve the donation. The City will keep you informed of its progress and final decision.

Visit the Pulaski County Assessor's Office to find your Parcel Number.

Land Bank Property Donation Application Form

Property address: *

Parcel No. (if known) *

Please provide the name and contact information for all the owners of the property: *

Owner 1 full physical address *

Owner 1 contact phone number *

Owner 1 contact email address *

Owner 2 full physical address

Owner 2 contact phone number

Owner 2 email

Does this property have a structure on it?

Yes
No

If there is a structure, is it occupied? *

Yes
No

If it is not currently occupied, when was it last occupied?

Please attach a photo of the property.

Sign your name *

Today's Date *

Consent for storing submitted data *

Yes, I give permission to store and process my data
No, I don't consent to storing and processing my data