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2. Application for Change of Mailing Address
4. Attention: Wall Township Tax Assessor's Office
   2700 Allaire Road Wall, NJ 07719
   732-449-8444 ext. 2230
6. Block *
7. Lot*
9. Utility Account #

   Tenants must include this number

   example:  4900123-0

10. Customer Type
    -- Select One --OwnerTenant - residentialTenant - commercial
12. Property Location*
    Address, City, State, Zip Code
14. Property Owner*
    First and Last Name
16. Address*
17. City*
18. State*
19. Zip Code*
21. Phone Number*
22. Email Address*
26. New Mailing Address*
27. City*
28. State*
29. Zip *
31. Supporting Documentation
33. Date*
    mm/dd/yyyy
34. Signature*
38. Township Use Only

    1. Date address modified_ _ /_ _ / 20_ _
    2. Date forwarded to Tax Collector_ _ /_ _ / 20_ _

    1. Initials of individual who made changes ____
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit Submit and Print

* indicates a required field