Change of Address Form - Perry County Collector of Revenue

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Previous Address Information

Name as shown on the tax bill(Required)

Email Address(Required)

Previous Address(Required)

Previous Address Line 1 Previous Address Line 2 Previous City Previous State Previous Zip Code

Date Moved to Current Address(Required)

Current Address Information

Current Address(Required)

Current Address Line 1 Current Address Line 2 Current City Current State Current Zip Code

Additional Information

Telephone Number(Required)

Number of Personal Property Accounts Affected(Required)

Number of Real Estate Accounts Affected(Required)

Other Names on Accounts Needing Address Change(Required)