Request to Change Mailing Address - Real Estate Tax Invoice

Parcel Number

Additional Parcel(s)

Parcel Number

Additional Parcel(s)

Parcel Number

I Verify That I Am The:

If "Other" Please Explain

I hereby request that the mailing address for the above parcel(s) be changed to the new address for the purposes of real estate tax billing.

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First Name

Last Name

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I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.