Chief County Assessment Officer
Request For Change of Address You may print this page and complete or you may use the Fillable PDF Form Click Here |
REQUEST FOR CHANGE OF ADDRESS
NAME: _______________ __________ _________________________________
(First) (M.I.) (Last)
MAILING ADDRESS: ____________________________________________
___________________________ ________ ____________
(City) (ST) (Zip)
EMAIL: ___________________________________________________________
TELEPHONE: (____________) ______________ - ______________________
Parcel Number(s): ____________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
REASON FOR CHANGE: _____________________________________________________
______________________________________________________________________
I Certify that I am the owner, trustee, or person holding Power of Attorney for the owner and I authorize the above address change:
_______________________________________________ ________________
(Signature) (Date)
NAME: _______________ __________ _________________________________
(First) (M.I.) (Last)
MAILING ADDRESS: ____________________________________________
___________________________ ________ ____________
(City) (ST) (Zip)
EMAIL: ___________________________________________________________
TELEPHONE: (____________) ______________ - ______________________
Parcel Number(s): ____________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
REASON FOR CHANGE: _____________________________________________________
______________________________________________________________________
Illinois Compiled Statutes: (35 ILCS 200/20-20) Sec. 20-20. Changes in address for mailing tax bill. No change of address shall be implemented unless the person requesting the change is the owner of the property, a trustee or a person holding the power of attorney from the owner or trustee of the property. However, if a property owner conveys a permanent change of address in writing to the United States Postal Service, then, on or after the effective date of that change of address, the county collector may mail a property tax bill to the property owner at his or her new address regardless of whether or not the owner notifies the collector of the address change. |
I Certify that I am the owner, trustee, or person holding Power of Attorney for the owner and I authorize the above address change:
_______________________________________________ ________________
(Signature) (Date)
RETURN COMPLETED & SIGNED FORM TO: Madison County CCAO 157 N. Main Street, Suite 229 Edwardsville, IL 62025 Email: ccaoforms@madisoncountyil.gov |
OFFICE USE ONLY: Date Received: INT: _______________ |