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Address Change Request

2. Board of Assessors<br> 37 Main Street Charlton, MA 01507<br> Phone: 508-248-2233 Fax: 508-248-2376<br> <a class="Hyperlink" target="_self" href="mailto:deborah.ceccarini@townofcharlton.net">Email Deborah Ceccarini</a>

   Board of Assessors
   37 Main Street Charlton, MA 01507
   Phone: 508-248-2233 Fax: 508-248-2376
   Email Deborah Ceccarini

4. Please return via:

   1. Email
   2. Fax
   3. In person
   4. USPS Mail

5. Parcel Identification Number

7. Location of Property

9. Former Mailing Address

11. City

12. State

13. Zip Code

15. First Name

16. Last Name

18. New Mailing Address

20. City

21. State

22. Zip Code

24. Tax Type:

    1. Personal Property
    2. Real Estate
    3. Sewer/Water

26. Authorized Signature

27. Date
    Date

29. Other Notes:

Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit Submit and Print

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