Change of Address Form

CHANGE OF ADDRESS FORM:  If you move from Fremont and are a property owner, it is your responsibility to notify the Town of your new address.  If you sell your property, we will receive the transfer from the Registry of Deeds in the month following its recording.  In all other cases, feel free to use this form to notify us of your new address.  You should mail it to the Select Board’s Office at PO Box 120, Fremont NH  03044-0120 or drop it at the Town Hall dropbox.

Date of Change: ________________________               Map _________   Lot _____________________

Owner’s Name: _____________________________________________________________

Property Address: ___________________________________________________________

Property Owner’s NEW Mailing Address:

Street/PO Box: ______________________________________________________________________

Town/City: _____________________________________  State: __________  Zip: ________________

Signature of Owner or Agent: ___________________________________________________

Name of Person Providing Information: ___________________________________________