Assessor-Recorder-County Clerk
OFFICE OF THE ASSESSOR
BOB DUTTON
222 West Hospitality Lane
San Bernardino, CA 92415-0311
(909) 387-8307 1 (877) 885-7654
www.sbcountyarc.org
REPORT A CHANGE
Owner’s Name: Parcel No:
Doing Business As (DBA): Account or ID:
Mailing Address Change Only
Effective Date:
Old Address New Address
Street address:
City:
State, zip code:
Moved
Effective date:
Old Address New Address
Street address:
City:
State, zip code:
Sold
Effective Date:
Sale price:
New owners name:
Mailing address:
Closed
Effective Date:
Disposition of Assets:
Print name: Title:
Daytime phone number: Date:
APP 149 (12-20)
Email:
If you have any questions, please contact the Personal Property Division at (909) 382-3220 or
personalproperty@arc.sbcounty.gov.
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