Change of Address Request

Instructions: Print this page and mail it to the following location. This form must be signed by the owner of the property in order to be processed.

For Birmingham mail the form to:	For Bessemer mail the form to:
Tax Assessor's Office	Tax Assessor's Office
Room 170 Courthouse	Room 209 Courthouse
716 Richard Arrington Jr Blvd N.	1801 Third Avenue N.
Birmingham, Al 35203	Bessemer, Al 35020

Name: ________________________________

Parcel ID: ___________________________________

Site Address: ________________________________

Do you live at site address: _______________

New Mailing Address:

_______________________________________

_______________________________________

_______________________________________

Signature (required): ___________________________________

Day Time Phone Number: _______________________________

If you are a different owner from the owner on record, please come to the Tax Assessor's Office with your deed and assess the property in your name and claim any exemptions for which you may qualify.