PARCEL NUMBER
REQUESTED BY
	Last	First	Middle
OWNER NAME
	Last	First	Middle
DATE OF REQUEST
REQUESTER'S PHONE NUMBER
OLD MAILING ADDRESS
	(Street Number, Direction, Street Name, City, State, Zip Code)
NEW MAILING ADDRESS
	(Street Number, Direction, Street Name, City, State, Zip Code)
OWNER AUTHORIZING SIGNATURE
ASSESSOR'S OFFICE USE
INITIALS
(Please note that this form will not change the owner name, it will only change the mailing address)
Instructions
1.Enter Parcel Number and press Tab key (this should automatically fill your old mailing address on the form)
2. Enter REQUESTED BY Last, First, and Middle name.
3. Enter OWNER NAME Last, First, and Middle name.
4. Enter your NEW MAILING ADDRESS.
5. Click on FILE in the top left hand corner, then select PRINT to print this form.
6. Sign the form.
7. Mail To:
Spokane County Assessor
1116 W. Broadway Ave.
Spokane, WA 99260-0010

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