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2. First Name*
3. Middle Name
4. Last Name*
5. Suffix
7. Business Name (if applicable)
9. Old Mailing Address*
11. City
12. State
13. Zip Code
15. Phone Number*
16. Email Address*
18. Property 1
19. Tax Map 1
21. Property 2
22. Tax Map 2
24. Property 3
25. Tax Map 3
27. Property 4
28. Tax Map 4
30. Property 5
31. Tax Map 5
33. Effective Date*
    Effective Date
35. New Mailing Address*
37. City*
38. State*
39. Zip Code*
43. Check all areas the address change affects:

    1. Real Estate Tax Bills
    2. Accounts Receivable
    3. Meals, Transient, Admissions Taxes

    1. Real Estate Assessment Notices
    2. Business License Tax
    3. Parking Tickets

    1. Personal Property
    2. Dog License
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45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field