County of Peoria Supervisor of Assessments MAILING ADDRESS CHANGE FORM PARCEL I.D. # __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Print or type: Last Name, First Name, Middle Initial YOUR NAME No. and Street/P.O. Box/Apt./Suite NEW ADDRESS Town, State, Zip Code No. and Street/P.O. Box/Apt./Suite OLD ADDRESS Town, State, Zip Code Property owner’s signature required SIGN HERE Today’s date X COMMENTS: ___________________________________________________________________________ ___________________________________________________________________________ PLEASE RETURN TO: Peoria County Supervisor of Assessments ATTN: Land Records & Mapping Room 301 Peoria County Courthouse 324 Main Street Peoria, IL 61602-1338 FAX: (309) 672-6075 8/20/2003 American LegalNet, Inc. www.USCourtForms.com