COMMONWEALTH OF VIRGINIA
COUNTY
OF
LOUDOUN
OFFICE OF THE COMMISSIONER OF THE REVENUE
Leesburg
, VA 20177-9804
(703) 777-0260
Fax (703) 777-0263
www.loudoun.gov/cor
ROBERT S. WERTZ, JR.
COMMISSIONER
SUSAN A. BREEN
CHIEF DEPUTY
Leesburg
Office
F
Lo
udoun
County
Government
Center
F
1 Harrison
Street S
E
F
1
st
Floor
F
Leesburg
VA 20175-3102
Sterling Office
F
Loudoun Tech Center
F
21641 Ridgetop Circle
F
Suite 100
F
Sterling
VA 20166-6597
Mailing Address Change for Real Property Assessments and Tax Bills
(USPS Addresses Only)
a mortgage company please DO NOT use this form. You may
Treasurer @ 703.777.0280 or
Date
:_
___________________________________
Item Number or
Parcel ID Number (PIN):_________________________________________________________
Owner Name(s):___________________________________________________________________
___________________________________________________________________
Property Address
: _
________________________________________________________________
__________________________________________________________________
New Mailing Address
: _
____________________________________________________________
______________________________________________________________
______________________________________________________________
Phone Number
: _
______________________ E-mail:_____________________________________
Information furnished by: Name
:
_______________________________________________________________________________
Signature
: _
__________________________________________________________________________
This form may be faxed, e-mailed or mailed. To e-mail this form, please use the