EF-FC01-R02-0416-30002249-1 CAA-FC01-REV.02(04-16) Claude Parrish Orange County Assessor Civic Center Plaza, Building 11 Attn: Address Control P.O. Box 628 Santa Ana, CA 92702-0628 Real Property (714) 834-2939 Business Property (714) 834-2930 www.ocgov.com/assessor CHANGE OF MAILING ADDRESS Property assessment information and property tax bills are mailed to the current address of record on file with the County Assessor. Property owners are responsible for notifying the Assessor promptly whenever their mailing address has changed. Assessor Parcel Number(s):______________________________________________ Assessment Number(s):(If Applicable)________________________________________ Property Owner: (Please Print) ______________________________________________________________________ Last Name First Name Middle Property Address: ______________________________________________________________________ Street Address ______________________________________________________________________ City State Zip New Mailing Address as of ____/____/____ (Date) ______________________________________________________________________ Address 1 (or c/o) Address 2 ______________________________________________________________________ ______________________________________________________________________ City State Zip This property has been: Was this your principal place of residence? I/we vacated the property on (Date Moved): Sold Rented Yes Neither No ____/____/____ I no longer reside at the property location shown above as my principal place of residence; please remove any Homeowner's Exemption applied on my behalf for this location as of ____/____/____ (Date Moved). Property Owner or Agent: (Please Print) ______________________________________________________________________ Last Name Signature Email Address First Name Middle Date Daytime Phone Number _____________________________________________________ _____/_____/_____ ______________________________________________ (____)__________________ ASSESSOR USE ONLY Initials: _______ Date: _________________ Add Change Delete Add HOX Remove HOX American LegalNet, Inc. www.FormsWorkFlow.com