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2. Real Estate Tax Records Address Change Request

   This form is to change the mailing address that real estate tax bills and other real estate communications are sent to.

4. Wellesley Property Address
6. Property Address*

   Enter the address of the Wellesley property who's tax mailing address you would like to change.

7. Unit
11. New Mailing Address

    Being the current owner of the above referenced property, I do hereby authorize you to mail my tax bill to the address below.

13. Address*
15. City*
16. State*
17. Zip Code*
21. Contact Infomation and Signature
23. Owner Name*
24. Co-Owner Name
26. Email Address*
27. Phone Number*
29. Electronic Signature*

    By checking the "I agree" box below, you agree and acknowledge that 1) you are the owner of the property identified in this form, 2) your application will not be signed in the sense of a traditional paper document, 3) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 4) you may still be required to provide a traditional signature at a later date.

    1. I agree. Electronic Signature
31. Signed*

    Property Owner

Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field