2. City of Wayne
   Mailing Address Change Form

4. Request for mailing address change for:*

   1. Tax bills
   2. Water bills
6. Property Address:
8. Parcel Number:
10. Water Account Number:

14. Change Mailing Address To:

16. Address
18. City
19. State
20. Zip Code
22. Daytime Phone Number:
24. Requester Name:*
28. Reason For Request:*

    1. Snowbird (*see below)
    2. No longer principal residence (must complete rescind form)
    3. Owner to pay taxes (no longer paid by mortgage company)
    4. Other (specify below)
30. If checked 'Other' for request reason:

32. *Notice to Snowbirds: Please contact City of Wayne upon your return to change address back.

Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field