DATE
MAP LOT BLOCK
OWNER(S)
CURRENT MAILING ADDRESS
NEW MAILING ADDRESS
CONTACT PHONE NUMBER
NOTE: ALL PARTIES OF INTEREST MUST SIGN AUTHORIZATION
AUTHORIZED SIGNATURE AUTHORIZED SIGNATURE
PRINT NAME PRINT NAME
Please return to:
Town Assessor PHONE 978-264-1720
29 Middle Road FAX 978-264-3127
Boxborough, MA 01719 EMAIL assessor@boxborough-ma.gov
TOWN OF BOXBOROUGH
AUTHORIZATION TO CHANGE ADDRESS ON ASSESSED PROPERTY & TAX BILL
In order to make a change to the mailing address on the tax bill, the Assessor needs authorization from the property
owner(s). Please fill out the information listed below.
NEW ADDRESS REQUESTED
PROPERTY LOCATION