TOWN OF BELMONT
ASSESSORS’ OFFICE
NOTICE OF MAILING ADDRESS CHANGE
PLEASE PRINT
Date:
Property Address: Condo Unit #:
Date Purchased (if new owner):
Former Owner:
New Owner:
Date Moved:
New Mailing (Street) Address:
City:
State:
Zip Code:
Requested by:
Telephone #: Home Work
Signature (owner or authorized agent):
This form is not acceptable without a signature, and the signature must be from an
owner or an authorized agent. If you have any questions, please contact the Assessors’
Office at 617-993-2630.
Please return completed form to: Assessors’ Office
Town of Belmont
19 Moore Street
PO Box 56
Belmont, MA 02478
FOR OFFICE USE ONLY
Map________ Parcel________ Suffix________ Unit________
Processed by:____________________________ Date:_____________________
NOTE:
ONE PROPERTY
ADDRESS PER
FORM, PLEASE