2. Parcel (NO dashes or slashes)*
3. Parcel
5. OLD INFORMATION
7. Old Taxpayer Name / Business*
9. Address*
11. City*
12. State*
13. Zip Code*
15. NEW INFORMATION (If this is a Trust or LLC you will need to provide origination documentation)
17. Taxpayer Name / Business*
19. Address*
21. City*
22. State*
23. Zip Code*
25. DISCLAIMER

    Our office does not track whether or not you have an escrow account with a lender that pays your property taxes. You are legally the taxpayer and we work directly with you. You have a contractual relationship with your mortgage company that does not involve our office.
    
    The taxpayer on our records, will always receive the property tax statement. Most lenders receive property tax information from a taxing service via automated media which reflects the balance due for each parcel they request.
    
    If you have an escrow account, it is imperative that you verify with that lender that they are paying your property taxes timely. You may also check balances on our website under the Pay Property Taxes section.

27. DETAILS FROM THE PERSON REQUESTING THE NAME CHANGE
29. First Name*
30. Last Name*
32. Phone Number*
33. Title*
    -- Select One --TaxpayerOwnerAgent
34. Email Address*
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field