Pitt County Forms Center

2.  
   

   110 Evans Street Greenville, NC 27835 Telephone: (252) 902-3400

   Change of Address Form
    

4. Taxpayer Name(s):
6. Abstract/Bill #(s):
8. Parcel #(s):
10. Location of Personal Property:
12. New Mailing Address:*
14. Old Mailing Address:
16. Print Name:
18. Phone #
19. Email
21. By checking this box, you agree that the information on this form is accurate and you are the authorized person to make address changes on the listed account(s).

    1. Agree
23. 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.
25. Electronic Signature*
26. Date*
    Date

28. “It is important that you notify the Post Office and DMV about your address change.”

Leave This Blank:


30. Submit

* indicates a required field