Creamery Building, 21 S Kent St, Suite 100, Winchester, VA 22601 Telephone: (540) 667-1815
Email: cor@winchesterva.gov FAX: (540) 667-8937
Website: www.winchesterva.gov
Change of Name or Address for Local Taxes
OLD INFORMATION (Per current City records)
Owner Name: _________________________________________________________________
Mailing Address: ______________________________________________________________
______________________________________________________________________
NEW INFORMATION:
Updated Name (if applicable): ____________________________________________________
Updated Mailing Address (if applicable): ___________________________________________
______________________________________________________________________
Reason for Change: ___________________________________________________________
______________________________________________________________________
______________________________________________________________________
Person requesting change: ______________________________________________________
Date: ______________________________ Phone Number: _________________________
Signature: ___________________________________________________________________
This change is applicable to (Mark all that apply):