Request For Change Of Address Form

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REQUEST FOR CHANGE OF ADDRESS FORM
HARRISON COUNTY, WEST VIRGINIA
REAL ESTATE AND PERSONAL PROPERTY TAX RECORDS
OLD ADDRESS:
NAME:
ADDRESS:
PHONE NUMBER:
NEW ADDRESS:
NAME:
ADDRESS:
PHONE NUMBER:
REQUEST FOR ADDRESS CHANGE ON THE FOLLOWING PROPERTY:
REAL ESTATE
Tax Year/Ticket #
Account Number
District
Map #/Parcel #
PERSONAL PROPERTY
I hereby request the Harrison County Tax Office to change the address on the permanent records for
this Real Estate and/or Personal Property.
I certify that I am the owner of this property or have the legal power of attorney of the owner to request
the tax bill address change.
Signature:_____________________________________________
Date:_________________________________________________
Return To:
Sheriff and Treasurer of Harrison County
Harrison County Tax Office
301 West Main Street
Clarksburg, WV 26301

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