MARK CHURCH
EF-FC01-R02-0416-41000442-1                            Assessor - County Clerk - Recorder
CAA-FC01-REV.02(04-16)                                 555 County Center, 3rd Floor
                                                       Redwood City, CA 94063
                                                       P 650.363.4771    F 650.599.7435
                                                       email assessor@smcacre.org
                                                       web www.smcacre.org

                            CHANGE OF MAILING ADDRESS 
Property  assessment  information  and  property  tax  bills  are  mailed  to  the  current 
address of record on file with the County Assessor. Property owners are responsible for 
notifying the Assessor promptly whenever their mailing address has changed.  

Assessor Parcel Number(s):______________________________________________ 

Assessment Number(s):(If Applicable)________________________________________ 

Property Owner: (Please Print) 
______________________________________________________________________ 
 Last Name                     First Name                Middle 
Property Address: 
______________________________________________________________________ 
Street Address 
______________________________________________________________________ 
City                                    State                       Zip 
New Mailing Address as of ____/____/____ (Date) 
______________________________________________________________________
Address 1 (or c/o)
______________________________________________________________________ 
Address 2 
______________________________________________________________________ 
City                                    State                       Zip 

   This property has been:                       Sold       Rented     Neither 

   Was this your principal place of residence?          Yes                       No 

   I/we vacated the property on (Date Moved):                ____/____/____ 

      I no longer reside at the property location shown above as my principal place of 
      residence; please remove any Homeowner’s Exemption applied on my behalf for 
      this location as of ____/____/____ (Date Moved). 

Property Owner or Agent: (Please Print) 
______________________________________________________________________ 
Last Name                      First Name                Middle 
__________________________________________________________          /_____/_____
Signature                                                           Date 
______________________________________________ (____)__________________ 
Email Address                                          Daytime Phone Number 

    ASSESSOR USE ONLY                            Add        Change   Delete 
  Initials: _______ Date: _________________      Add HOX Remove HOX