ADDRESS CHANGE REQUEST FORM
FOR YOUR PROTECTION: If this form is being presented by anyone other than the Owner, a Power of
Attorney (POA) or letter of authorization from the owner must be supplied.
Owner Name (Please Print)
Parcel ID# or Site Location address (Please attach additional parcels or addresses to be changed if needed):
Do any of the above parcels have any exemption? Yes No
If yes, please complete this section. If no, please skip this section.
Change the Mailing address to:
Address:
City: State: Zip:
Country
Print Name and Title
Signature
Contact Phone Number ( ) Date
This form must be completed in its entirety and signed. Incomplete forms will not be processed.
Mail to:
Michelle Franklin, CFA
Saint Lucie County Property Appraiser
2300 Virginia Ave, Room #107
Fort Pierce, FL 34982‐5652
Attn: Address Change
Fax to:
772.462.1058
OR
Email to:
No
Do you reside on the above referenced parcel? Yes
Please state the reason for this change of mailing address:
If no, last date of occupancy:
Is this property rented? Yes
No
If yes, date property became a rental:
