Address Change Form

EDGEFIELD COUNTY ASSESSOR’S OFFICE
206 Penn Street, Suite 1
Edgefield, SC 29824
Tel: (803) 637-4066 Fax: (803) 637-4119
www.edgefieldcounty.sc.gov
REAL PROPERTY ADDRESS CHANGE REQUEST
(All emails / faxes must include the following information)
Owner(s) Full Name (Please Print Clearly)*
Date New Address Takes Effect*
MM slash DD slash YYYY
Old Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
New Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
INCOMPLETE, UNSIGNED AND UNSUPPORTED APPLICATIONS WILL NOT BE PROCESSED

OWNER MUST LIST ALL PARCEL NUMBERS / MOBILE HOME DECAL NUMBERS
Please Be Advised,
Only The Parcel Numbers/Mobile Home Decal Numbers Listed Below Will Be Changed.
State Reason for Address Change:
Owners Contact Information
Daytime Telephone
Email Address
Signature
First Last
Online signature constitutes a written signature.
Date
MM slash DD slash YYYY

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Edgefield County, 124 Courthouse Square, Edgefield, SC 29824
Phone: (803) 637-4000, Fax: (803) 637-4056.

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