2. 
4. Change Request for Tax Bill
6. Tax Account Number
8. Owner*
10. Property Address*
12. City*
13. State*
14. Zip*
16. Telephone Number*
18. Email Address*
20. I AM REQUESTING THE FOLLOWING CHANGE(S):
22. CHANGE MAILING ADDRESS
    -- Select One --YESNO

    (Enter mailing address below.)
24. PAID OFF MORTGAGE
    -- Select One --YESNO

    (Enter address where future tax bills should be mailed below.)
26. CHANGED MORTGAGE COMPANY
    -- Select One --YESNO

    (Enter new mortgage company name & address below.)
28. MAIL DUPLICATE BILL TO THIRD PARTY
    -- Select One --YESNO

    (i.e. - helping a parent with bills; enter third party name and mailing address below.)
30. MAIL DUPLICATE BILL TO WINTER ADDRESS
    -- Select One --YESNO

    (Town & County taxes only; enter mailing address below.)
32. EMAIL DUPLICATE BILL
    -- Select One --YESNO
34. ADD TO EARLY PAY LIST
    -- Select One --YESNO

    (If you wish to pay your taxes in the prior calendar year - Town & County taxes only.)
38. NEED TO CHANGE THE NAME ON YOUR BILL?
    (Contact Assessor's Office @ 585-784-5215 to discuss documentation required for name change.)
42. Name
44. Mailing Address
46. Address
48. City
49. State
50. Zip
54. 
Leave This Blank:


56. 1. Receive an email copy of this form.
57. Email address

    This field is not part of the form submission.

58. Submit

* indicates a required field