Address Change Request Form

Please complete the form below for all address changes to be made on Assessment and Tax records. Please note, motor vehicle address changes must ALSO be completed on your registration at CT DMV by following this link: http://www.ct.gov/dmv/cwp/view.asp?a=825&q=245412&dmvPNavCtr=|42650|#42652

Please check all that apply:	Real Estate Business Personal Property
Owner Name/Business Name:
Real Estate/Business Address:
	Motor Vehicle(s) Note: Please also notify DMV unless you cancel the registration
Registered Vehicle Owner:
Plate Number(s):
OLD Mailing Address:
Address:
Address Line 2:
City:
State:	Zip:

NEW Mailing Address:
Address:
Address Line 2:
City:
State:	Zip:

Phone:
Email:
Comments:
I am the owner of record of the above noted property/motor vehicle(s) and I request the above changes to be made.

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