Claude Parrish

EF-FC01-R02-0416-30003997-1 Orange County Assessor

CAA-FC01-REV.02(04-16) Civic Center Plaza, Building 11
Attn: Address Control
P.O. Box 628
Santa Ana, CA 92702-0628
Real Property (714) 834-2939
Business Property (714) 834-2930
www.ocgov.com/assessor

CHANGE OF MAILING ADDRESS

Property assessment information and property tax bills are mailed to the current
address of record on file with the County Assessor. Property owners are responsible for
notifying the Assessor promptly whenever their mailing address has changed.
107-172-20
Assessor Parcel Number(s):______________________________________________
107-172-20
Assessment Number(s):(If Applicable)________________________________________
Property Owner: (Please Print)
VanSchofer-Williamson Steven-William Van P
______________________________________________________________________
Last Name First Name Middle
Property Address:
15432 Jackson St-Midway City Ca
______________________________________________________________________
Street Address
5432 Jackson St-Midway City Ca Ca 92655
______________________________________________________________________
City State Zip
03 July 2017 (Date)
New Mailing Address as of ____/____/____
15432 Jackson St Unit 304 Midway City Ca 92655
______________________________________________________________________
Address 1 (or c/o)
______________________________________________________________________
Address 2
Midway City Ca 92655
______________________________________________________________________
City State Zip

This property has been: Sold Rented Neither

Was this your principal place of residence? Yes No

I/we vacated the property on (Date Moved): ____/____/____

I no longer reside at the property location shown above as my principal place of

residence; please remove any Homeowners Exemption applied on my behalf for
this location as of ____/____/____ (Date Moved).

Property Owner or Agent: (Please Print)

dba Van Schofer-Williamson Steven -William Van P
______________________________________________________________________
Last Name First Name Middle
_____________________________________________________ _____/_____/_____
Signature Date
dbaVan Schofer --if allowed to Ensign
______________________________________________ 714 )__________________
(____ 486 6430
Email Address Daytime Phone Number

ASSESSOR USE ONLY Add Change Delete

Initials: _______ Date: _________________ Add HOX Remove HOX