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Request for Change of Mailing Address - Town / Village of Essex

  1. Header - change of address form
  2. Note: This one form automatically goes to all of the internal departments that need to know, you do not need to fill out one for each department.
    Once you have hit "Submit" you will get a confirmation screen, if the submit button does nothing, review the required fields and try again.

  3. (10 digit number)

  4. (As shown on Deed or legal document)
  5. (Full address - Street or PO, City, State, and Zip code)
  6. WILL THIS BE YOUR PRIMARY RESIDENCE MAILING ADDRESS:*

    (choose one)

  7. (xxx-xxx-xxxx)
  8. REQUESTER IS (please check one):*
  9. If printing form to send in, please print name, then sign. If submitting the form electronically, typing in your name is your signature.
  10. (If different from owner phone above)

  11. Essex Town & Village of Essex Junction, VT
  12. Websites: www.essexvt.org & www.essexjunction.org
  13. Leave This Blank:

  14. This field is not part of the form submission.