North Carolina Appraisal Board
5830 Six Forks Road, Raleigh, NC 27609
Phone: 919/870-4854
Fax: 919/870-4859
Change of Address
Name: ______________________________________________
Appraiser Number: _____________
Please Print
Directions: Please fill in all fields, even if some of the fields have not changed. (This helps us insure that
we do not change something in error or fail to change something that is necessary.) Once this form is
completed, you may mail or fax it to the Board office.
Home Address
Mailing Address: ________________________________________________________________________
Street or PO Box
_______________________________________________________________________________
City
State
Zip
Physical Address (if different from mailing address): ___________________________________________
Street
_______________________________________________________________________________
City
State
Zip
Phone: (______)_________________________
Fax: (______)__________________________
County of Residence: ____________________________________________________________________
Business Address
Business Name: ________________________________________________________________________
Mailing Address: ________________________________________________________________________
Street or PO Box
_______________________________________________________________________________
City
State
Zip
Physical Address (if different from mailing address): ___________________________________________
Street
_______________________________________________________________________________
City
State
Zip
Phone: (______)_________________________
Fax: (______)__________________________
County of Business Location: _____________________________________________________________
Which address do you prefer to use as your primary mailing address?
Home
Business
Do you have an e-mail address that you would like us to make note of? If so, please list below:
_______________________________________________________________________________
Revised 5/10/06