2. Only the owner or an authorized representative can request a change of address. Please call the Assessor's office if you have any questions.
4. 
   
6. Legal Owner's Name
8. Old Address*
10. City*
12. State*
14. Zip*
16. 
    
18. New Address:*
20. City*
22. State*
24. Zip*
26. 
    
28. Please sign and date the form before mailing.*
30. 
    
32. Once completed, please print the form. Sign and date as indicated and mail to the Assessor's Office at 710 Mill Bay Rd., Kodiak, AK 99615, or you may fax it to 907-486-9395. Thank you
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33. Print Only

* indicates a required field