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2. Please choose all departments that apply.*

   1. Business License
   2. Personal Property
   3. Business & Farm Equipment

   1. Real Estate
   2. Consumer Tax (Meals & Transient Tax)
4. Business Name
5. Last 4 of FEIN#
7. First Name*
8. Middle Name
10. Last Name*
11. Last 4 of Soc. Sec. #*
12. Phone Number*
14. Email Address
16. Previous Address*
18. City*
19. State*
20. Zip Code*
22. Date Moved*
    Date Moved
24. New Address*
26. City*
27. State*
28. Zip Code*
30. Comments/Notes
    Enter any notes and/or comments needed to completely explain the the situation.
32. Attach a File
34. Note: If address change is needed with DMV, you may visit the DMV online.
    DMV online
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36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field