Address Change Authorization Form - County Of Santa Cruz
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1County of Santa Cruz
SEAN SALDAVIA, ASSESSOR
Patrick Rooney
701 OCEAN ST., Rm. 130, SANTA CRUZ, CA 95060
Chief Deputy-Valuation
Claudia Cunha
(831) 454-2002
FAX: (831) 454-2495
Chief Deputy-Administration
ADDRESS CHANGE AUTHORIZATION*
*This request can only be used to change the mailing address on the tax bill – not the
owner’s name.
________________________________________________________
Name
New Mailing Address ____________________________________________________
City __________________________________ State __________ Zip ______________
Phone # ________________________ (Your phone # will be kept confidential and will
only be used to contact you if we have questions.)
_________________________
Parcel # (APN) of your property
Parcel #
Parcel #
(If you own more than one parcel, list all APN's that are affected.):
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
Do you have a boat assessed in Santa Cruz County?
Yes
No
If yes, provide the following information:
CF or Document # __________________________________
Do you have an aircraft assessed in Santa Cruz County?
Yes
No
If yes, provide the following information:
N # ______________________________________________
Do you have a business assessed in Santa Cruz County?
Yes
No
If yes, provide the following information:
Account # _________________________________________
Name of business ___________________________________
IF YOU ACQUIRED TITLE TO THIS PARCEL WITHIN THE LAST 6 MONTHS, PLEASE
PROVIDE THE NAME OF THE FORMER OWNER:
_______________________________________________________
______________________________________________
___________________
Signature
Date
Return this completed form to:
Santa Cruz County Assessor
701 Ocean St., Rm. 130
Santa Cruz, CA 95060
EXCELLENCE – INTEGRITY - SERVICE
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