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FULTON COUNTY, NEW YORK

REAL PROPERTY TAX SERVICE

ADDRESS CHANGE FORM

(DO NOT USE THIS FORM FOR FULTON COUNTY, GEORGIA)

Use this form to report a permanent change of mailing Address.

Temporary address changes should be done throughthe UnitedStatesPostalService.Information submitted will beusedto

changetheaddressfor alltaxbillingandassessmentrolls.During certaintimesoftheyeara  delaymay beexperiencedifthe

"TaxBillingFile"hasalreadybeenproduced.

TODAY’SDATE:

MUNICIPALITY:

PROPERTYLOCATION::

TAXMAPNUMBER:

NAMEOFOWNER(S):

NEWADDRESS:

CITY,STATE,ZIP:

TELEPHONENUMBER:

EMAILADDRESS:

By Submitting this Form, I certify that I am the owner, or legal representative of the owner, of/for the above

mentioned property, and I have the authority to request this change of address.

RETURN COMPLETED FORMS TO:

FULTON COUNTY REAL PROPERTY TAX SERVICE

COUNTY OFFICE BUILDING

223 WEST MAIN ST.

JOHNSTOWN, NEW YORK 12095

Phone: (518) 736-5507 -- Fax: (518) 736-1417

SPACE BELOW FOR DEPARTMENT USE

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NAME

FULTON COUNTY, NEW YORK (County of Fulton)

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