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Change of Mailing Address Request

Application for Change of Mailing Address
Attention: Wall Township Tax Assessor's Office
2700 Allaire Road Wall, NJ 07719
732-449-8444 ext. 2230
Block *
Lot*
Property Location*
Address, City, State, Zip Code
Property Owner*
First and Last Name
Address*
City*
State*
Zip Code*
Phone Number*
Email Address*
New Mailing Address*
City*
State*
Zip *
Supporting Documentation
Date*
mm/dd/yyyy
Signature*
Township Use Only
1. Date address modified_ _ /_ _ / 20_ _
2. Date forwarded to Tax Collector_ _ /_ _ / 20_ _
1. Initials of individual who made changes ____

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

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