Henderson Auctions 2-Day Spring Public Contractors Auction will be held on March 16th & 17th, 2023. LA Lic# 1160 $200, Live auctions are held every Tuesday at 9:30 a.m. CT. Premier and Expert members of SCA can inspect vehicles in person at an IAA auction location the day before a sale from 10am to 2pm local time. Our commitment to quality service comes from the fact that each and every one of our members owns a part of the company. History. Call 800-850-2252 or 225-686-2252 Listings Details: Henderson Auctions has been commissioned to liquidate assets from a local maintenance company. Day 2 | Ring 2 Selling Industrial Equipment, Attachments, Welding Supplies, Safety Equipment, Drills, Mulchers, and More! ACCOUNT MANAGERS: Kurt Sonnier 225.363.8778 and Jason Bush 225.431.0542. Foreclosure in Livingston Parish: Cute 3 Bdr/2 Bath House in Independence. Our online-only auction platform lets you bid from anywhere with ease. Participating in live car sales is easy; you compete against other bidders by placing incremental bids to become the high bidder and win the sale of the vehicle. Call 800-850-2252 or 225-686-2252 Henderson Auction's March Online Only Auction is held in conjunction with our 2-Day Spring Public Contractor's Auction on March 17th, 2023. These guys are honest and won't rip you off like many automotive shops.more, Had new tires and leveling kit put on my 2020 Taco. Take Interstate 12 to I-10 East(Eastbound) and go 14 miles. 1. ServCorp International, Inc. is based in southeast Louisiana, approximately thirty miles northeast of New Orleans, Louisiana. Title: Ends: Time Left . 2002 and newer vehicles can get an instant offer over the phone with one phone call. An Ordinance To Amend Chapter 125 Of The Code Of Ordinances Of Livingston Parish, "Subdivision Regulations," Article I, In General, By Adding Section 125 . Livingston Parish County, la. Louisiana'a Fastest Growing Auto Auction. Auto Auction Mall is your #1 source for purchasing used cars at wholesale prices.We provide exclusive access to dealer-only car auctions, helping over 200,000 buyers find incredible deals on used cars through our online marketplace every single month. Search our database of Livingston Parish County Property Auctions for free! Experience the future of car buying with SCA Auctions. Call 800-850-2252 or 225-686-2252 Listings Details: Henderson Auction's 2-Day Spring Public Contractor's Auction will be 66+/- Acres with Residential Property Online Only The Civic Source website offers navigation through the entire adjudication process. Email: [emailprotected] Web: http://www.hendersonauctions.com/, Ouachita Parish Sheriffs Department Auction, 2-Day Spring Contractor's Auction - Day 1, ThuMar16-09:00AM - Livingston,La2023, FriMar17-11:00AM - Livingston,La2023, ThuMar23-11:00AM - Livingston,LA2023, Retirement Liquidation Online Only Auction, 3/30/2023 River Parishes Maintenance Commercial, 66+/- Acres with Residential Property Online Only, 4/5/2023 Roustabout Real Estate Retirement Auction, Collector Motor Series Auction | May 6, 2023, 5/11/2023 J. Bruce Memorabilia Collection, ThuMay11-10:00AM - Denham Springs,La2023, ThuMay11-10:00AM Denham Springs,La2023. Access BBB ratings, service details, certifications and more - THE REAL YELLOW PAGES . TN Lic# 2182 LIVINGSTON PARISH COURTHOUSE Physical Address: 20300 Government Blvd., Livingston, LA 70754 The Judges Chambers is located on the 2nd Floor of the courthouse Mailing Address: P.O. We have conducted the surplus auctions from 2011 to 2019 for Jefferson Parish consisting of surplus vehicles, equipment, transit buses and more, generating an average of $502,067 in gross proceeds per auction. Questions? We are here to help! Livingston Auction & Appraisal Co. - Auctions, Appraisal . Questions? Record Results. Livingston, La 70754 Henderson Auctions March Online Only Auction is held in conjunction with our 2-Day Spring Public Contractors Auction on March 17th, 2023. What can we sell for you? View 84 homes for sale in Livingston, LA at a median listing home price of $189,900. Welcome toPedersen & Pedersen Auctions. ServCorp International, Inc., a family-owned and operated business since 1991. Central Bidding - Bids by Category Auto Salvage in Livingston Parish, LA. 2. Selling Construction Equipment, Industrial Equipment, Farm Equipment, Tractor, **This auction has been moved due to trying to get accurate descriptions and serial numbers. Henderson Auctions 2-Day Spring Public Contractors Auction will be held on March 16th & 17th, 2023. Some of the items will be moved to our Livingston Yard and selling our 2-Day March 16th and. Auctions take place online at CivicSource.com the first Wednesday of each month from 8:00 a.m. to 8:00 p.m. For more information please visit the Civic Source website or call 888-387-8033. The choice of vehicles was impressive, and the platform was convenient to use. The parish is interested in procuring the services of an environmental services consultant . (225) 686-2241 1061.62 mile Holden Fire District No 10 Livingston, LA 70754. Call today: 225-686-2252 or 1-800-850-2252. Questions? Find the best Salvage Yards nearby Livingston Parish, LA. Experience you can trust, service you can count on. Courts in Livingston Parish maintain records on everything that occurs during the legal process for future reference, including appeals. Livingston Parish is in the Plantation Country Louisiana region of Louisiana. ACCOUNT MANAGERS: Kurt Sonnier 225.363.8778 and Jason Bush 225.431.0542. All items will sell absolute to the highest bidder. Adding a business to Yelp is always free. 2020 brought its challenges with COVID, conducting online auctions allowed us to continue generating revenue for our sellers. Continue on Hwy 73 5.4 miles until Hwy 75. BEGINTHE NEW YEAR WITH AN EXCITING AUCTION FOR THE. Some jurisdictions have self-help centers that you can visit, and others have online resources. (WAFB) - Jurors in the aggravated rape and video voyeurism trial of Melanie Curtin watched a nearly 20-minute video of Curtin allegedly . 21-1764-15, RFQ - Fire District 5 Safe Rooms Project - Second Run, RFQ - Sawgrass Boulevard and Royal Birkdale Culvert Replacement Project, Town of Albany Wastewater Treatment Plant Mitigation Project, Livingston Parish - RFQ Early Warning Systems and Rain Gauges Project, Livingston Parish - Request for Proposals for Professional Services, Livingston Parish - Haynes Settlement Waterline Extension Phase III, Livingston Parish - RFQ Springdale Drive Sewer Mitigation, Livingston Parish - RFQ Suburban Acres Drainage Improvements, Livingston Parish HMGP RFQ L.P. Sewer District Oxidation Pond Closure and Removal Project, Parish of Livingston Capital Improvements Program 2021, RFP-Post Disaster Substantial Damage Determination Services, RFQ - Denham Springs Critical Facilities Wind Retrofits, RFQ - Jason Drive Subsurface Drainage Project, RFQ - South Woodcrest Avenue Subsurface Drainage Project, CWEF RFQ for Blahut Road Water Improvements, Livingston Parish - Town of Albany Generator Project - Sept 2020, HMGP RFQ for Early Warning Systems and Rain Gauges, Livingston Parish Early Warning Systems and Rain Gauges Project, Livingston Parish - Town of Albany Generator Project - 2020, Livingston Parish U.S. Highway 190 Drainage Project Request for Qualifications for Engineering Services, Livingston Parish West Colyell Creek Bank Stabilization Project Request for Qualifications for Engineering Services. Upcoming Auctions. This property will sell Subject to Owner Confirmation, the high bidder will be. Learn. read our policies. What can we sell for you? Heres how to fix it. SC Lic# 4265 You get to buy cars at wholesale prices that auto dealers buy their inventory for. Call 225-686-2252 or 800-850-2252. Let us handle your cars & bids! Vehicle preview is available from 10 a.m. to 2 p.m. local time the day before the scheduled auction. Questions? Central Auction House, LTD . Call 225-686-2252 or 800-850-2252. | (225) 686-2241 1061.62 mile Courthouse Livingston, LA 70754. 405.858.1914 Send Message Consign Item. Homeland Security & Emergency Preparedness. Link. Which they did not have to do! Contact us today at 985.847.1242 and let us hold your next auction! (Supp. I was able to bid on and win a car that I was interested in. Please contact Ben at 225-363-8488 with any consignment questions or to sell your collector cars, motorcycles, racing vehicles, and memorabilia. Since its beginning in 1957 with the first auction totaling $800, this family business has grown to be one of the world's leading auction firms. This billing program helps you avoid high bills that can often occur due to seasonal high Call today: 225-686-2252 or 1-800-850-2252. 1, Showing results 1 - 15 of 1773, Current Bid: $0, Current Bid: $2,200, Buy it Now SIGN UP FOR TEXT ALERTS | By Filling out this form you agree to receive SMS messages. Call Jason Bush 225-431-0542 with questions regarding this property or the auction process. Sitemap. Late Fee: $50.00 or 2% (whichever is greater). OCCUPATIONAL LICENSE -The Livingston Parish Sheriff's Office is responsible for issuance of occupational licenses outside of municipalities. Box 1000 Livingston, LA 70754 DEMCO makes the process of paying your energy bill more convenient.Pay NOWPayment LocationsBank DraftMobile AppPhonePaperlessLevelized BillingLevelized billing is calculated based on your 12-month usage average, always rolling forward, and adjusting based on your month-to-month usage. Livingston Parish Detention Center INMATE NAME & ID NUMBER 20180 Iowa Street PO Box 850, Livingston, LA, 70754 If you have a question, please call 225-686-2241. Get in touch with our representatives and start your journey on expanding your company and making your business better, more agile and profitable. Discover the Difference Today! Find The Children caseworkers work diligently to assist families who are searching for missing, From Business: Your donated vehicle will be quickly picked up by a licensed, insured, and bonded transport company. Pick up your vehicle within 2-5 business days from the day of sale. Click here to See pricing and listing details of Livingston real estate for sale. I won a car, and the experience exceeded my expectations. In this web portal you'll locate all the salvage yards for motorbikes, autos or vans based in Livingston. Search results are sorted by a combination of . 21-17. Henderson Auctions March Online Only Auction is held in conjunction with our 2-Day Spring Public Contractors Auction on March 17th, 2023. A proposal to add a new zoning category in Livingston Parish for lots that are a minimum of 40 feet wide is causing some pushback among residents who fear further development with smaller lot $3,200, Current Bid: $1,025, Buy it Now It is part of the Baton Rouge metropolitan statistical area . Livingston Parish - RFP for LCDBG Environmental Consulting Services. Call 800-850-2252 or 225-686-2252 Listings Details: Henderson Auctions has been commissioned to sell 66+/- Acres of residential property with a large home and (4) ponds. Be More Info Coming Soon. Failure to make payment by the deadline will result in a non-refundable late fee of $50 or 2% of the vehicle sale price, whichever is greater. Published: Dec. 1, 2021 at 10:59 AM PST. Call Buster Gay to schedule previews and load-outs 318-376-3523. A 35-year-old Maurepas man died Thursday evening (Sept. 24) when his motorcycle crashed on Highway 22 east of Highway 16 in Livingston Parish, Louisiana State Police said. Accessibility, IAA | Two Westbrook Corporate Center, 10th Floor, Westchester, IL 60154, The following are standard payment options: In Person: Cash, Credit Card (less than $250) or Certified Check., Online : I-Pay (Licensed Business Buyer) or Wire Transfer. Visit us on social networks. Auctions take place online at CivicSource.com the first Wednesday of each month from 8:00 a.m. to 8:00 p.m. For more information please visit the Civic Source website or call 888-387-8033. Previously operated under the name Sencore Auction Service from 1976 until 1991, the company split in 1991 into two entities: ServCorp International, Inc. and Sencore Properties. CODE OF ORDINANCES Parish of LIVINGSTON, LOUISIANA Codified through Ordinance No. 4 of these businesses have an A/A+ BBB rating. Henderson Auctions May Collector Motor Series Auction will be held at the Barber Vintage Motorsports Museum in Birmingham, AL with the date in May to be determined. Standby Contract for Debris Removal and Site Management for Debris Reduction, Emergency Roadway Clearance and Livingston Parish/ City of Walker/ Safe Room/ Community Center, PARISH OF LIVINGSTON - CAPITAL IMPROVEMENTS PROGRAM 2017, BLAHUT ROAD WATER SYSTEM IMPROVEMENTS (PHASE II), New Office Building for Livingston Tax Assessor, South Satsuma Road Bridge Replacement Project. Terms of Use 101 Magnolia St. Slidell, LA 70460. The Best 10 Automotive near me in Livingston Parish, Louisiana. Livingston, La 70754 Inquiry: Questions? It drew me back and today I'm getting my car fixed in less the $$ and time of the other estimates I received! 14, Jan This is a fullmore, I was called by the shop at 1:30pm to let me know I can drop my car off early, so far we're off to amore, A family/veteran/locally owned car shop with charm AND amazing prices.more, Within the span of 4 hours on a Thursday, my car's surprise breakdown was repaired by the efficientmore, My daughter has a car whose check engine light comes on under certain conditions.more, Very knowledgeable, affordable, and fast service. Our 100% online car auction marketplace specializes in the resale of wholesale, wrecked, lightly damaged, clean, repairable, and salvage title vehicles, and is open to the public - so you can access dealer-only auctions without needing a dealer's license. Livingston Parish Town of Springfield Sewer Lift Stations Project Request for Qualifications for Engineering Livingston Parish Fire District 5 Safe Rooms RFQ, Livingston Parish HMGP RFQ for Allen Bayou Relief Erosion Control-Bank Stabilization, Livingston Parish HMGP RFQ for South Satsuma Drainage Improvements Project, Livingston Parish Town of Albany Generator Project, Request for Qualification Statements - Amite River Diversion Canal Weir Project, 2019 Livingston Parish Pavement Patch Program, Parish of Livingston Capital Improvements Program 2019, Livingston Parish Government Waterway Embankment Stabilization Services Request for Qualifications, Request for Qualification Statements - Pine Bluff Road Drainage Improvements Project, Request for Qualifications (RFQ) for Engineering Services for Roadway and Related Drainage Repairs, Amite River Watershed and Coastal Wetlands Restoration Phase 1 Project(s) for Livingston Parish. FL Lic# 5109 The population was 1088 at the 2010 census. Car alarm systems: Find the right security for your vehicle, The smart consumers car inspection checklist, Exhaust leak? All vehicles are sold AS IS, WHERE IS. | This location doesn't have any auctions scheduled for today. We are pleased to announce that Ben Hocevar has joined our Collector Motor Series team and will be the new account manager. Vehicles can be picked up on sale day. Livingston Parish, Louisiana is the 9th largest county in Louisiana. Paul Ferachi, owner of Capitol City Produce, purchased the Holden tract at sheriff's auction for $385,000 after a bidding war in a crowded jury holding room at the Livingston Parish Courthouse. LOCATED AT 16179 RIVER ROAD HAHNVILLE, LA 70057 THIS PROPERTY IS SELLING SUBJECT TO SELLERS CONFIRMATION. Compare properties, browse amenities and find your ideal farm property in Livingston Parish, Louisiana Supporting Documents Direct Sales and Collecting Local Sales Tax (542 KB) Web Links Livingston Economic Development Council Livingston Parish Chamber of Commerce Box 1130 Livingston, LA 70754 Tip Line Vendor Self Services Site Map Spiceworks for Teachers Adult Education Breakfast & Lunch Menu Board Meetings Bus Schedules Early Childhood Network Job Opportunities LPPS Journal Special Education Tip Line Vendor Self Services Reproduction of material appearing on this Web site is strictly prohibited without written permission. Auction Dates: Thursday | March 17th, 2023 | 11am Preview: Wednesday | March 15th, 2023 | 9-4 Location: 13340 Florida Blvd. The 21st Judicial District Court is located at 20300 Government Blvd. THE HIGH BIDDER WILL BE CONTACTED WITHIN 24 HOURS AFTER THE AUCTION CLOSES WITH RESULTS OF THE SALE. Top rated Livingston Parish schools. Best Automotive in Livingston Parish, LA - Cajun Automotive & Tire, Gonzales Tire & Automotive, Xtreme Auto Repair, J J's Auto Parts, Marullo Auto Specialists, McDonald Tire 2, Firestone Complete Auto Care, TMAC Garage, Tangi Car Care Center, Auto Pro Get Dealer-Level Access To Used Car Auctions Quickly Find The Best Deals On Used Cars For Sale. I appreciate the help at Carpenters Landing, From Business: Cash For Cars is the official website and hotline to get connected to a local cash car buyer. You must have JavaScript enabled to use this form. Switch to a Google Earth view for the detailed virtual globe and 3D buildings in many major cities worldwide. SELF-HELP SERVICES: Click on your parish in the drop-down menu below to see available services and forms in your area. New Orleans, Louisiana 70129 2348. Storage Fee: $40.00, 2023 IAA, Inc. All Rights Reserved Livingston Parish Tax jurisdiction breakdown for 2023 Louisiana 4.45% Livingston 4% Minimum combined sales tax rate value 8.45% Accurate sales tax rates are determined by exact locations What does this sales tax rate breakdown mean? It is widely accepted that the name Livingston is an eponym honoring Edward Livingston, a prominent American and Louisianan, a jurist and statesman who assisted in the drafting of . . Livingston, LA 70754 Phone: 225-686-7044 Fax: 225-686-3052 Mailing Address: P.O. Bid online with confidence! This partnership has proven beneficial as the parish receives no taxes for properties while on the adjudicated tax roll. Henderson Auctions has been commissioned to liquidate a local estate including an extensive firearms collection. Bidding at SCA weekly internet real time auctions is simple. Henderson Auctions has been commissioned to liquidate assets from a local maintenance company. Livingston, LA 70754 Phone: 225-686-2252 Email: jcason@hendersonauctions.com Web: http://www.hendersonauctions.com/ Since its beginning in 1957 with the first auction totaling $800, this family business has grown to be one of the world's leading auction firms. Copyright 2015-2023 SCA, LLC. You can still search for people on yellowpages.com since Yellow Pages and Superpages are part of one company. (This information and address will be on your invoice if you are the high, Auction Dates: Thursday | March 30th, 2023 | 11am Preview: Wednesday | March 29th, 2023 | 10-2 Location: 16179 River Rd. ** 3/23/2023 Estate Auction Terms: Buyers Premium: 20% Buyers Premium on each item purchased. LPO 22-56, adopted December 8, 2022. The people search feature on Superpages.com is temporarily unavailable. Please call Tricia Ory to consign your motorcycles and vehicles at 225-686-2252 extension 108 or email tricia@hendersonauctions.com. Web design by Rhino Digital, LLC. Henderson Auctions 2-Day Spring Public Contractors Auction will be held on March 16th & 17th, 2023. SuperPagesSM - helps you find the right local businesses to meet your specific needs. townofalbanyla .com. I was looking for a great deal on a car, and their auction made it easy to find the perfect vehicle. $61,655 3 Beds 2 Baths 1,326 Sq. Albany is a town in eastern Livingston Parish, Louisiana, United States. NOW OPEN FOR BIDDING - CLICK ON THE FOLLOWING LINK TO VIEW CATALOG AND TO REGISTER FOR AUCTION. Call Jeff McCon 225-686-2252 with questions regarding this property or the auction process. View upcoming auction days. Call 800-850-2252 or 225-686-2252 Henderson Auctions has been commissioned to liquidate assets from a local construction company. Read through our police car auction listings at Auctionsearchlocal.Com. This property will sell Subject to Owner Confirmation, the high bidder will be notified within 6 hours of the auction closing if the high bid is accepted. Call 800-850-2252 or 225-686-2252 Listings Details: Henderson Auctions May Collector Motor Series Auction will be held at the Barber Vintage Motorsports Museum in Birmingham, AL with the date in May to. Phone: 337-433-8664 Fax: 337-436-7197 Livingston Parish is Louisiana's 31st largest county (691 square miles). Harvey, LA, Cities of Slidell & Covington Surplus & Others Livingston Parish County, louisiana text Livingston Parish County, louisiana text Buy Well make you an offer no matter, From Business: Your donated car/truck/suv/van is needed to support our programs! Includes: Single Carport with Concrete Driveway, Public Water, and Laundry off the Carport. Past Auctions. We auctioned over 200 transit buses, plus trolley cars, equipment, and tow trucks for the Regional Transit Authority after Hurricane Katrina, generating over $400,000 in gross proceeds for that auction. We deliver all the contact info you'll need: directions, telephone numbers, fax numbers, and much more. IAA loaders are not permitted to lift anything greater than 11,000 lbs. The incident occurred in December of 2016, when a Tangipahoa residence reported several 4- wheelers stolen. The website was user friendly, and the process was straightforward. Like the parish, Livingston takes its name from the jurist Edward Livingston.. Livingston was the site of a major train derailment (spilling about 200,000 gallons of chemicals) in 1982.. On February 11 of 2016, it was officially announced that the LIGO collaboration successfully made the first direct observation of gravitational waves in September 2015. Insurance Auto Auctions AuctioneersAutomobile AuctionsUsed Car Dealers Website 68 YEARS IN BUSINESS (225) 686-9197 29000 S Frost Rd Livingston, LA 70754 CLOSED NOW 9. Although you may still bid on vehicles with the "Buy It Now" option if you'd like, you can also purchase them immediately at a pre-set price. If the vehicles are not picked up within this period, IAA will pick up the vehicle and transport it to our nearest facility (standard fees for transportation and storage will apply). Authorities said Irvin W. Baton Rouge, LA Cleveland Mareal Barnes Jr., 27, killed in hit-and-run pedestrian accident on North Cafe Line Road Accident Date: Sun, 09/14/2014 Day 1 (March 16th) Selling Industrial Equipment, Farm Equipment, Tractor Trucks, Service Trucks, Dump Trucks, Pick-Ups, Autos, Trailers, Containers, ATVs, Campers, Boats, Autos, and More! Box 427, Livingston, LA 70754. Used & Salvage Car Auctions in Livingston, LA Clear all filters Location Mon - Fri 8am - 5pm (CT) Livingston, LA 70754-2619 29000 S Frost Rd Coy Berthelot Inspector 800-371-0213 Phone number Inspect the vehicles at Auto Auctions. Questions? You do not need a dealer's license to bid on cars at SCA auctions, our auctions are open to the general public. text. The bidding process went smoothly without any issues. Transport drivers and towers are required to wear a highly visible safety vest anytime on IAA property. ACCOUNT MANAGERS: Kurt Sonnier 225.363.8778 and Jason Bush 225.431.0542. Turn Right on Hwy 75 and continue North for 4.2 miles. All rights reserved. Register for free, skip the middleman and place bids on cars today! What can we sell for you? Servcorp Auctions - Premium auction services serving the Gulf South. Henderson Auctions is proud to present the James Deshotel Sweet Potato Farm Retirement Package. IAA will conduct scheduled maintenance that will temporarily impact the availability of our website. 14600 Old Gentilly Road. VA Lic# 4691, 13340 Florida Blvd. 6, Mar 20. Sales tax rates are determined by exact street address. We found 22 results for Salvage Yards in or near Livingston Parish, LA.They also appear in other related business categories including Junk Dealers, Used & Rebuilt Auto Parts, and Automobile Parts & Supplies. | Questions? Branch yards close earlier than the offices to allow extra time for pullout/loading. Please note that the pickup time may vary by auction yard location. Failure to do so will result in a daily storage fee of $50 being added to your invoice. For a complete schedule list, be sure to contact the police car auction locations listed below: This website is not represented by an authorized auctioneer and is intended for general knowledge purposes only. Purchases must be secured within 5 business days of purchase. Priced to sell fast! 800-Car-Buyers has expert, From Business: Donate Your Car, Boat or RV FREE TOWING TAX DEDUCTIBLE Available in all 50 states Free pick up within about 1-3 days WE ACCEPT: Cars ~ Vans ~ RVs Trucks ~ Boats, From Business: Here at 1-800-Cash For Junk Cars, we will take care of your unwanted vehicle in the fastest and easiest way possible. It's as easy as that - wholesale car auctions simplified! Mar Public Car Auctions in LA - Baton Rouge, LA 70721 + Get Help Buying at this Location Live Chat Give Us a Call Facility Address: 5978 Highway 75 Carville, LA 70721 Get Directions Office Hours: Mon - Fri 8am - 5pm (CT) Yard Hours: Mon - Fri 8am - 4:30pm (CT) Today's Auctions Upcoming Auctions Best Car Deals on Baton Rouge auto auction Cynthia Perkins, 36, agreed to plead guilty and testify against her ex, 44-year-old former Livingston Parish Sheriff's Office SWAT member Dennis Perkins, who is also charged with dozens of child . Put multiple items in albums. Auction Automotive Dismantler and Parts Recycler Crusher Daily Rental Dealer Dealer Education Seminar Education Dealer New Motors Rent with Option to Purchase Dealer Salesman Used Motor Vehicle Dealer Used Parts Dealer Credential Number: License Status: Dealership Name: First Name: Last Name: Address: Maiden Name: City: State: Zip: Parish: