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NOTIFICATION OF CHANGE OF ADDRESS
OWNER NAME ______PROPERTY LOCATION:______________________________
PREVIOUS ADDRESS: NEW ADDRESS:
_______________________________________________ _________________________________________________
_______________________________________________ _________________________________________________
TO BE APPLIED TO THE FOLLOWING ACCOUNTS: (NOTE: If you own more than one property, we do NOT assume that you want all changed. Be sure to list ALL accounts you want changed.)
ACCT NO. MAP PARCEL
I/Wc hereby swear that I/we own the above property and request the changes be made as shown. NOTE: ALL property owners must sign this form with an original signature in order for the change to take place.)
Date: _____________________________ ________________________________________________ Signature of Property Owner
Return to:Town of Bartlett
________________________________________________
RR 1 Box 49
Signature of Property Owner
Intervale, NH 03845