Address Change Form - Assessor's Department
Date:(*)
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Owners Name:(*)
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Grid #:(*)
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Physical Address of Parcel:(*)
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Old Address:(*)
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New Address:(*)
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I agree to submit this application by electronic means. By signing this application electronically, I certify under penalty of perjury and false swearing that my answers are all correct and complete to the best of my knowledge. I also certify that I understand the questions and statements on this application. I understand the penalties for giving false information. I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature.
First Name:(*)
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Middle Initial:(*)
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Last Name:(*)
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Validation:(*)
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