MAIL TO: 
 TOWN OF EVA, ALABAMA                                                  
                                                                  TOWN OF EVA 
 CHANGE OF ADDRESS/                                               P.O. BOX 456 
                                                           DECATUR, ALABAMA 35602 
 OUT OF BUSINESS FORM                                                  
                                                           PHONE:  (256) 351-4619 
 
________________________________________________________________________________________________ 
                                          
                       CHANGE OF ADDRESS FORM 
                        
EVA Account Number: _________________________________________________ 

Business Name: __________________________________________________________________________ 

Old Mailing Address: ______________________________________________________________________ 

City, State, Zip Code: ______________________________________________________________________ 
                                            
                       NEW ADDRESS INFORMATION 
                                          
Business Name: __________________________________________________________________________ 

New Mailing Address: _____________________________________________________________________ 

City, State, Zip Code: ______________________________________________________________________ 

New Phone Number:  _(__________)_____________-____________ 

Contact Person: __________________________________________________________________________ 

Email Address:  __________________________________________________________________________ 

Physical Location: ________________________________________________________________________ 

City, State, Zip Code: ______________________________________________________________________ 

                       OUT OF BUSINESS NOTIFICATION 
                                          
Date of Business Closing / Business Sold (If Applicable): _________________________________________ 

Sold To / If Applicable: ____________________________________________________________________ 

New Owners Mailing Address: ______________________________________________________________ 

New Owners City, State, Zip Code:  __________________________________________________________ 

New Owners Phone Number:  _(__________)_____________-____________ 

Email Address:  __________________________________________________________________________ 

I affirm under the penalty of perjury that the above is a true and correct statement to the best of my 
knowledge and belief. 
 
SIGNATURE ____________________________________________   DATE____________________________ 

 2020 TOWN OF EVA CHANGE OF ADDRESS FORM                                          1 | P a g e