Request for Mailing Address Change

Request for Mailing Address Change

County of Delaware Board of Assessment Appeals
This is a request for your future tax bills that are processed at Delaware County
Folio #*
Located in the upper right corner of your Delaware County tax bill
Owner(s) Name*
Property Site Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
YesNo
YesNo
Please send all future tax bills to:
New Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Reason for change of address*
Name of person making change*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
HomeownerRelationship to Homeowner
Relationship to Homeowner*
Supporting Documentation

Cancelof
Any persion who knowingly files an application which is false to any material matter shall be subject to payment of taxes due, plus interest, plus penalty and shall be subject to prosecution as a misdemeanor of the third degree and a fine up to $2,500.00.
Signature*

Clear
Should be Empty:

Please send all future tax bills to: