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2. Parcel Numbers (Geo ID):*
   Include all parcel numbers, separated by a comma (Geo ID = parcel number)
4. Property Owner Last Name*
5. Property Owner First Name*
7. Current Mailing Address
8. NEW Mailing Address*
10. Person Requesting Change*
11. Relation to Owner*
    -- Select One --SelfSpouseChildLegal RepresentativeOther
13. Date Requested*
    Date Requested
14. Phone Number*
    Please provide a daytime contact number where we can reach you with any questions.
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16. 1. Receive an email copy of this form.
17. Email address

    This field is not part of the form submission.

18. Submit

* indicates a required field