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OFFICE OF THE SHERIFF FULTON COUNTY NEW ADDRESS (County of Fulton)

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U.S.A. forms for County of Fulton

BROWSE COUNTY OF FULTON (NY) FORMS

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OFFICE OF THE SHERIFF
FULTON COUNTY
PO Box 20
2712 STATE HIGHWAY 29
Johnstown NY 12095
EMERGENCY DIAL 911
Telephone: (518) 736-2100
Facsimile: (518) 736-2126
NEW ADDRESS REQUEST FORM
Name of Requestor: _____________________________________________________________
Phone Number: _________________________Cell Number: _________________________
Name of Land Owner: _____________________________________________________________
Tax Map/SBL#: _____________________________________________________________
In Unknown, please contact your local assessor or the Fulton County Real Property Tax Service at (518) 736-5507
Town/Village/City: _____________________________________________________________
House/Building Number: _____________________
(Office Use Only)
Check if New or Pending Construction
Site Type: Vacant Land; Residential; Commercial
Street/Road Name: _____________________________________________________________
Lot Size
(Dimensions or Precise Acreage): ___________________________________________________________________
Detailed Description of Location: _________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Office Use Only:
Date Received: ______________________
Date Assigned: ______________________
Date Notified: ______________________
Computer Entry Date: ______________________
Revised: 07/25/2017
RPTSA:
[ ] Entered IMO
[ ] Map Change Card
__________________
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OFFICE OF THE SHERIFF FULTON COUNTY NEW ADDRESS (County of Fulton)

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Completed 13 February 2021

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