Address Change Request Form - Maryland Department Of Assessments & Taxation

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MARYLAND DEPARTMENT OF ASSESSMENTS & TAXATION
ADDRESS CHANGE REQUEST FORM
I, the undersigned, hereby request a permanent change of mailing address for
the property listed below in _____________________
(Enter county name)
(Please type or print legibly, you may also fill this form out on your pc.)
DISTRICT & PROPERTY NUMBER
OWNERS NAME
(Baltimore City enter Ward, Section, Block and Lot)
Example: John T. Smith
02 -123456
PRINT COMPLETE NEW ADDRESS
_________________________________________________________________
HOUSE NO.
STREET NAME
CITY
STATE
ZIP CODE
IS THE NEW ADDRESS YOUR PRINCIPAL RESIDENCE? ________
PRINT NAME _______________________________________________
SIGNATURE _______________________________________________
If the owner of the property is a business give the name of a contact person and job title.
Title if applicable __________________________________________
DAYTIME PHONE ________________________________
DATE _______________________________________
Submit to the appropriate office where the property is located; a list of offices is attached.

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