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Assessor Address Change Form
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Owner Name(s)
Parcel ID Number(s) (Please attach separate sheet if necessary)
All Owners
Family Member or Caretaker – A notation will be added to send Mail Only to the address and name provided.
Name of person requesting change
Company / Business – Change applies to the business, corporation, or LLC. Note: You must have authorization to request this change. An authorization letter will be required along with this form.
ADDRESS INFORMATION Effective Date (MM/YY) (Required only if the address change is NOT due to a physical move)
Date of Move (MM/YY)_ (Required if this change is due to a move)
Please REMOVE my Homestead Exemption (Mark this box if this home is no longer your primary residence)
This is still my primary residence. Please provide the reason for the address change:_
OLD Mailing Address
NEW Mailing Address
Phone#
Email
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