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2. Tax Map Number*

   You may enter multiple parcels if needed, separated by a comma.

4. Property Location*

   List address of parcel as it appears on the tax bill.

5. Town Name*
   -- Select One --Town of CatharineTown of CayutaTown of DixTown of HectorTown of MontourTown of OrangeTown of ReadingTown of Tyrone

   Select name of town where parcel is located.

7. Owner Name*
8. Additional Owner(s)
10. New Mailing Address*
12. Address 2
14. City*
15. State*
16. Zip*
18. Phone Number*

    We may contact you to verify this request.

19. Email Address*
21. Comments
23. Owner Certification*

    1. I certify that I am the owner of the above referenced property and I have authority to request this change of mailing address.
    2. I am submitting this on behalf of the owner.
Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit Submit and Print

* indicates a required field