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Change of Address Form
TOWN OF RUTLAND - CHANGE OF ADDRESS FORM
Mail to:  Tax Collector, 250 Main Street, Rutland, MA 01543

Please complete the following form if there has been any change in your mailing address.

Please print:
Name of Taxpayer: ________________________________________________

Other names listed: ________________________________________________

Previous mailing address:

Street Address ______________________________________________                           
Post Office Box if Applicable:__________________________________

Town/City _________________________________________________

State _______________________________ Zip Code ______________

Current mailing address:

Street Address ______________________________________________                           
Post Office Box if Applicable:__________________________________

Town/City _________________________________________________

State _______________________________ Zip Code ______________

Effective date:______________________________

Cc:  Water/Sewer Department
       Board of Assessors
       Town Clerk
       Other

Water/Sewer Account No.______________  

Property Address____________________________________________

Real Estate:  Map_______________  Parcel ______________________

Excise Bill No./s.____________________________________________



 
Town of Rutland 250 Main Street, Rutland, MA 01543   Disclaimer
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