Phone #: ( )

Name: (Please print)

Old Address:

City: State: Zip+4:

New Address:

City: State: Zip+4:

Date: Signature:

This change is: (Select one)

PERMANENT Address Change TEMPORARY Address Change ANNUAL Seasonal Address Change:

Start Date:

End Date:

Start Date:

End Date:

Please return to: Marty Kiar, Property Appraiser, 115 South Andrews Ave. Room 111. Fort Lauderdale, FL 33301-1899 or email to address@bcpa.net or fax to 954-357-6894. Please do not send multiple requests.

Note: Our office provides the Revenue Collector's office an updated name and address file each year for the November tax bills. The names and addresses reflected on the Revenue Collector's website are updated every November 1st.

Add/Update email address:

First Name: Last Name:

Submitting my email address allows for communication about my property in addition to receiving regular updates from the Broward County Property Appraiser’s o˜ice in regards to updated tax information, exemptions, or any other pertinent information that may relate to my property.

Address Change Authorization

www.bcpa.net

Property ID#: