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Change of Mailing Address Request

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. Property Location*
   Address, City, State, Zip Code
11. Property Owner*
    First and Last Name
13. Address*
14. City*
15. State*
16. Zip Code*
18. Phone Number*
19. Email Address*
23. New Mailing Address*
24. City*
25. State*
26. Zip *
28. Supporting Documentation
30. Date*
    mm/dd/yyyy
31. Signature*
35. 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:


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

    This field is not part of the form submission.

39. Submit Submit and Print

* indicates a required field