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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:


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

    This field is not part of the form submission.

33. Submit Submit and Print

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