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2. Change of Address - Permanent Only

4. First Name*
5. Last Name*
7. Property Address*
9. Block*
10. Lot*
11. Qual
13. Utility Account #

    Tenants Must include this number

    example:  4900123-0

14. Customer Type
    -- Select One --OwnerTenant-residentialTenant-commercial
18. Please Change Mailing Address as Follows:

    (for permanent address changes only - no temporary seasonal changes please)

    All tax and water/sewer bills will go to this address. 

    Please note: the mailing address must be the same for tax and utility bill (residential properties)

20. New Street Address:*
22. City/Town:*
23. State:*
24. Zip Code:*
26. Phone Number*
28. Signature*
    Please sign electronically, by typing your name
29. Email of Requestor (required for change):*
31. Effective Date*
35. Property Tax Deduction - are you receiving a deduction on this property?

    1. Yes
    2. No
36. Please check the deduction(s) receiving:

    1. Senior Citizen
    2. Surviving Spouse of Senior
    3. Disabled Person
    4. Surviving Spouse of Disabled Person
    5. Veteran
    6. Surviving Spouse of a Veteran
    7. Totally Disable Veteran

38. - For a Senior or Disabled Person Property Tax Deduction, you must reside at the property.

39. - For a Veterans Property Tax Deduction, you must be a resident of NJ & not be receiving the full deduction on another property.

41. Please use a Final Meter Reading Form for all Real Estate Closings or Tenant Changes

    ***Finals are Required for all closings and tenant changes.

Leave This Blank:


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

    This field is not part of the form submission.

44. Submit

* indicates a required field