REQUEST FOR CHANGE OF MAILING ADDRESS
To:
Duchesne County Treasurer
PO Box 989
734 N Center
Duchesne, UT 84021
email: mclegg@duchesne.utah.gov
phone: 435-738-1190
fax: 435-738-1222
Parcel Number:
Property Location:
Section 1: Relationship
____A. Owner
____B. Contract Buyer
____C: Contract Seller
____D: Mortgage Company
____E: Property in Trust
Trust Administrator
____F: Lessee
____G. Name Change (Married/Divorced)
____H. Estate Administrator
____I. Life Tenant
____J. Attorney in Fact
____K. Power of Attorney
____L. Other
Section 2: Mailing of Tax Notice
For all future correspondence, change my mailing address to: (please print)
Name:
Care of:
Address:
City, State, Zip Code:
Day Phone Number:
By virtue of the information provided above, I hereby swear that I am entitled to receive the property tax notice for this parcel. Any false statements of omissions are punishable under Utah law by a fine and/or imprisonment.
Requestor’s Signature
Date:
For Office Use Only:
Entered By
Date Changed