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2. Change of Address - Permanent Only

4. First Name*
5. Last Name*
7. Company Name

    {if applicable}

8. Property Address*
10. Block*
11. Lot*
12. Qual
14. Utility Account #

    Tenants Must include this number

    example:  4900123-0

15. Customer Type
    -- Select One --OwnerTenant-residentialTenant-commercial
19. Please Change Mailing Address as Follows:

    (for permanent address changes only - no temporary seasonal changes please)

    All tax and water/sewer bills will go to this address. 

    Please note: the mailing address must be the same for tax and utility bill (residential properties)

21. New Mailing Address:*

    Full Street Name

23. City/Town:*
24. State:*
25. Zip Code:*
27. Phone Number*
29. Signature*
    Please sign electronically, by typing your name
30. Email of Requestor (required for change):*
32. Effective Date*
36. Property Tax Deduction - are you receiving a deduction on this property?

    1. Yes
    2. No
37. Please check the deduction(s) receiving:

    1. Senior Citizen
    2. Surviving Spouse of Senior
    3. Disabled Person
    4. Surviving Spouse of Disabled Person
    5. Veteran
    6. Surviving Spouse of a Veteran
    7. Totally Disable Veteran

39. - For a Senior or Disabled Person Property Tax Deduction, you must reside at the property.

40. - For a Veterans Property Tax Deduction, you must be a resident of NJ & not be receiving the full deduction on another property.

42. Please use a Final Meter Reading Form for all Real Estate Closings or Tenant Changes

    ***Finals are Required for all closings and tenant changes.

Leave This Blank:


44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit

* indicates a required field