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Change of Address Form

2. Welcome to the Town of Brookline's Property Owners Change of Address Form
   The Town of Brookline operates under a quarterly billing system. The fiscal year tax bill is sent to the owner of record as of January 1. If you purchased a property after January 1, the next fiscal year's bill lists the previous owner's name. In order to receive future bills at the appropriate address, please fill out this form. We will attach your name as a C / O, until the following January 1 when your name will appear as an owner.
4. Date Mailed
   Date Mailed
5. Block
   Parcel (123-XX-XXX)
6. Lot
   (Lot XXX-12-34)
8. Location of Property
10. Street Number
11. Street Name
12. Unit Number
14. Current Owner
    As it appears on the tax bill
16. First Name
17. Middle Name
18. Last Name
20. Corporation Name
    If applicable
21. Name of Business
    If applicable
23. Mail to New Owner
    Or name of person receiving the tax bill
25. First Name
26. Middle Name
27. Last Name
29. Mailing Address
30. Unit or Apartment Number
32. City
33. State
34. Zip
36. Work Phone Number
37. Home Phone Number
38. Reside at Location?

    1. Yes
    2. No
40. New Owner

    1. Yes
    2. No
41. If yes, date purchased
    If yes, date purchased
42. If not owner, relation to owner:
44. Is this property on Town Refuse Service?

    1. Yes
    2. No
46. Email Address*
    Required for authorization and confirmation
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field