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CHANGE OF MAILING ADDRESS FORM I am the property owner or authorized agent as indicated below regarding the following real estate record(s): Property Address Parcel Number I am requesting the Auditor of Allen County to change the mailing address of Property(ies) listed above to: City Zip Is this mailing address your primary residence? Yes No (By checking yes to the above question, certain exemptions may be removed from the former property. Please contact our office at (260) 449-7241 to re-apply for these exemptions on the new property.) Phone Number Signature Printed Title if other than owner (If Personal Representative or Power of Attorney etc. please submit designating documentation) Anyone submitting false information on this form is subject to prosecution. Return this form to the Allen County Auditor’s Office allen county auditor Nicholas d. jordan