Date:_________________
ADDRESS CHANGE REQUEST FORM
Property Location:_______________________________________________________________
Current Mailing Address:________________________________________________________
_________________________________________________________
New Mailing Address: ____________________________________________________________
_____________________________________________________________
Effective Date: ______________________________________________________________________
Which of the following do you want mailed to your NEW address? Check all that apply.
____ Real Estate Bills
_____Personal Property Bills
_____ Sewer Bills
For Water Bills, please contact the Great Barrington Fire District, 17 East Street,
Great Barrington, MA 01230 Phone: 413-528-0133
Request made by: (please print) __________________________________________________
Signature of person requesting change: __________________________________________
Name of Record Owner: (please print)_____________________________________________
Signature of Record Owner: ________________________________________________________
We do not make temporary address changes for seasonal residents.
Please contact the post office for mail forwarding services.