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2. Instructions
   Please provide the name of all account holders
4. Owner
6. Co-Owner
10. Instructions
    Please provide the updated mailing address.
12. Mailing Address Line 1
14. Mailing Address Line 2
16. City
17. State
18. Zip
22. Instructions
    Please indicate the effective date of mailing address change
24. Effective Date
    Effective Date
28. Instructions
    Please check all account types affected by this change of mailing address
30. Account Type

    1. Real Estate
    2. Personal Property
    3. Business License
    4. Consumer Tax
    5. Other (Specify Below)
34. Instructions
    This space if provided for the taxpayer to provide any additional notes and/or comments if needed. If Account Type "Other" was selected, please specify here.
36. Taxpayer Notes/Comments
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field