Tisbury Massachusetts
51 Spring Street, P.O. Box 1239, Vineyard Haven, MA 02568
ph: (508) 696-4200
Change of Address Form



                                                     The Town Of
                              Tisbury, Massachusetts
            Tisbury Town Hall 51 Main St., Tisbury, MA 02568

                          ADDRESS CHANGE/VERIFICATION FORM
             
                                                  Phone# (508) 696-4206     

       PLEASE COMPLETE THE FORM BELOW AND RETURN IT TO THE ASSESSOR’S               
       OFFICE, SIGNED FORM MUST BE ON FILE IN OUR OFFICE TO MAKE ANY
       CHANGES.
                              ____________________________________________________________________

       IT IS IMPORTANT THAT YOU RETURN THIS FORM. IF YOU DO NOT RECEIVE YOUR TAX BILL
                  YOU WILL STILL BE RESPONSIBLE FOR ANY INTERESTAND/OR LATE CHARGES.
                ___________________________________________________________________________

                  By checking ( ) the lines below that apply to your situation, we are better able to process
                  Your request correctly. The following checked conditions apply to this request:

                 This is my primary residence  ____                       I am registered to vote in Tisbury  ____
                 This is a second home  ____                                  I am on the Census list in Tisbury  ____
                 This is a furnished rental property  ____     ( If checked, copy of lease required January 1st yearly)
                 This is unfurnished rental property  ____    ( If checked, copy of lease required January 1st yearly)
                 Vacant Land  ____    Commercial/Industrial Property  ____   Personal Property  ____

                 Other  ____  Describe:_________________________________________________________

              PROPERTY LOCATION: ________________________________________________

              OWNER’S NAME:______________________________________________________
          
               MAP/BLOCK/LOT______________________________________________________

              MAILING ADDRESS:____________________________________________________

              OWNER’S SIGNATURE:_________________________________________  DATE:
               (Subscribed under the penalties of perjury)
                This form must be signed by the owner/or Trustee as shown on the recorded deed.
                _______________________________________________________________________________
                Do you currently receive a boat excise tax bill from the Town  Of  Tisbury?  ____
                If so would you like to receive your boat bill at the same mailing address?  ____
 
       Please be advised that all mail regarding this property will be sent to the new address. If you wish to have your
      Changed to a care of address, please sign and compete the address on the reverse side of this form. The Tax                                   
      Collector’s Office will accept requests to send a duplicate bill’s at 508-696-4250

   
                
           

TOWN OF TISBURY
ASSESSORS’ OFFICE
PO BOX 2147
VINEYARD HAVEN MA  02568
PHONE: (508) 696-4206
FAX: (508) 693-5876

ADDENDUM TO ADDRESS CHANGE FORM


                        Property Address: ________________________________

                        Assessors Identification Number: ____________________


As the owner(s) of real property in the Town of Tisbury, I/we do hereby direct the Board of Assessors
to send all tax bills and other notices regarding this property in care of the individual or firm listed below.  
I/we understand that this request may impact our rights as a property.  Tax bills, notices regarding our
assessment and notices to abutters for public hearings may never reach us or may not be forwarded in a
timely fashion.  With full knowledge of the circumstances surrounding such a request, I/we still request
that the address of record for this property be changed to the in care of address listed below:

___________________________________________________

                   ____________________________________________________

                ___________________________________________________



                Owner(s)   _____________________________________

      ____________________________________________