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2. 
3. Change of Address Form

   City of Roseville Assessing Office

   Brook Openshaw, City Assessor
   586-445-5430

5. Parcel I.D. #*
6. Date*
   Date
8. Current Address*
10. New Mailing Address*
12. Tax Payer Name #1*
13. Tax Payer Name #2
15. Requestor Phone #*
17. Reason for change:*

19. Home must be owner-occupied and primary residence to qualify for homestead.

21. Was this property homestead?*

    1. Yes
    2. No
23. Will this property remain homestead?*

    1. Yes
    2. No

25. This form must be fully completed in order to make a change in our Tax files.

27. 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.
29. Electronic Signature*
31. For Non-Electronic Submission, please return to:

    Assessing Department
    29777 Gratiot Avenue
    Roseville, MI  48066

    Assessing Department # 586-445-5430

    
    

Leave This Blank:


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

    This field is not part of the form submission.

35. Submit

* indicates a required field