Charlotte County Property Appraiser - Paul L. Polk, CFA, AAS, RES
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ADDRESS CHANGE NOTICE

*If you are not the property owner, authorization by the owner must be provided

** If this address change is associated with a business please indicate your relationship to the business above i.e., owner, manager, managing company and attach documentation showing you have authorization to make this change.

Name or Business Name as shown on the tax bill

 

Business relationship

Parcel ID/Account Number Find Here

  

New Address Line 1

 

New Address Line 2

New City

 

New State/Province

 

New Zipcode

 

New Country

 

Reason for the address change

Effective date of address change

 

Phone Number

Email Address

Owner Printed Name

 

Co-Owner Printed Name
Does this property currently have Exemptions?

If you received any of the following exemptions as of January 1 but no longer qualify, please specify which exemption(s) you wish to withdraw.

Exemption(s):

By submitting this form and clicking “I Agree” I understand that I am are providing my digital signature and that I am authorized to do so. “Digital signature” means an electronic identifier intended by the person using it to have the same force and effect as the use of a manual signature. The use of a digital signature under this section is subject to criminal laws pertaining to fraud and computer crimes.