Change Of Mailing Address Request Form {CAA-FC01}

CHANGE OF MAILING ADDRESS Property assessment information and property tax bills are mailed to the current address of record on file with the County Assessor. Property owners are responsible for notifying the Assessor promptly whenever their mailing address has changed. Assessor Parcel Number(s): Assessment Number(s):(If Applicable) Property Owner: (Please Print) Property Address: Street Address City State Zip New Mailing Address as of // (Date) Address 1 Address 2 City State Zip This property has been: Sold Rented Neither Was this your principal place of residence? Yes No I/we vacated the property on (Date Moved): // I no longer reside at the property location shown above as my principal place of residence; please remove any Homeowners Exemption applied on my behalf for this location as of // (Date Moved). Property Owner or Agent: (Please Print) Last Name First Name Middle Signature Date () Email Address Daytime Phone Number ASSESSOR USE ONLY Add Change Delete Initials: Date: Add HOX Remove HOX Last Name First Name Middle American LegalNet, Inc. www.FormsWorkFlow.com