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Change Tax Bill
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Change Request for Tax Bill
Tax Account Number
Owner
*
Property Address
*
City
*
State
*
Zip
*
Telephone Number
*
Email Address
*
I AM REQUESTING THE FOLLOWING CHANGE(S):
CHANGE MAILING ADDRESS
-- Select One --
YES
NO
(Enter mailing address below.)
PAID OFF MORTGAGE
-- Select One --
YES
NO
(Enter address where future tax bills should be mailed below.)
CHANGED MORTGAGE COMPANY
-- Select One --
YES
NO
(Enter new mortgage company name & address below.)
MAIL DUPLICATE BILL TO THIRD PARTY
-- Select One --
YES
NO
(i.e. - helping a parent with bills; enter third party name and mailing address below.)
MAIL DUPLICATE BILL TO WINTER ADDRESS
-- Select One --
YES
NO
(Town & County taxes only; enter mailing address below.)
EMAIL DUPLICATE BILL
-- Select One --
YES
NO
ADD TO EARLY PAY LIST
-- Select One --
YES
NO
(If you wish to pay your taxes in the prior calendar year - Town & County taxes only.)
NEW MAILING ADDRESS
Name
Address
City
State
Zip
NEED TO CHANGE THE NAME ON YOUR BILL?
(Contact Assessor's Office @ 585-784-5215 to discuss documentation required for name change.)
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
* indicates a required field
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