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2. Change of Address Form

   Humboldt County Assessor

   Andy Heiser

   50 W Fifth Street

   Winnemucca, NV 89445

   
   

   For assessment and tax billing purposes only.

   
   

   Changing ownership of a property will require recording a document with the County Recorder. 

4. Property Owner Name*
5. Assessor Parcel Number or Account Number*
7. Email Address*
9. New Mailing Address*
10. New City*
12. New State*
13. New Zip*
15. Also please change the mailing address on my:

    1. Exemption
    2. Personal Property
16. Date*
    Date
18. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I Agree
20. Electronic Signature*
Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field