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2. PERSONAL INFORMATION
4. Select type of address*
   -- Select One --IndividualBusiness
6. Name of Taxpayer*
8. Your Name (if different from the taxpayer and for businesses)
10. Please specify at least one of the next two.
12. Daytime Phone Number
14. Email Address
18. ADDRESS INFORMATION
20. (Please select all that apply) Address Change for:*

    1. Real Estate
    2. Land Use

    1. Personal Property
    2. Business License
22. New Address
24. Address*
26. City*
27. State*
28. Zip Code*
30. Old Address
32. Address*
34. City*
35. State*
36. Zip Code*
38. Date Moved*
    Date Moved
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field