Form Center

2. Ontario County Emergency 9-1-1
   
   Addressing Division
   
   74 Ontario Street
   
   Canandaigua, NY 14424
4. NOTICE OF OFFICIAL ADDRESS ASSIGNMENT
   NOTICE OF OFFICIAL ADDRESS ASSIGNMENT
6. Name of Municipality:*
   -- Select One --City of CanandaiguaCity of GenevaTown of BistolTown of CanadiceTown of CanandaiguaTown of East BloomfieldTown of FarmingtonTown of GenevaTown of GorhamTown of HopewellTown of ManchesterTown of NaplesTown of PhelpsTown of RichmondTown of SenecaTown of South BristolTown of VictorTown of West BloomfieldVillage of BloomfieldVillage of Clifton SpringVillage of ManchesterVillage of NaplesVillage of PhelpsVillage of RushvilleVillage of ShortsvilleVillage of Victor
7. Tax Map Number:*
9. Property Type*
10. Owner or Renter*

    1. Owner
    2. Renter
12. Reason for Assignment:*
14. Property Owner(s):*
16. Tenant(s):
18. POST OFFICE:*
20. EXISTING PROPERTY ADDRESS:*
22. ATTENTION: The address for the described property is being CORRECTED BY:*
26. EFFECTIVE ON:
27. (enter date)*
    (enter date)
29. THE OFFICAL MAILING ADDRESS FOR THIS PROPERTY WILL BE:*
33. EXISTING MAILING ADDRESS OF PROPERTY OWNER:*
35. Note to Assessor: Please initial and return a copy to the Ontario County 9-1-1 Center's Addressing Division.
37. PLEASE DO NOT UPDATE YOUR FILES UNTIL THE EFFECTIVE DATE. THE DELAY IS TO ALLOW FOR CIRCULATION OF PAPERWORK TO ALL UTILITY COMPANIES, ETC. AND THE CORRECTION OF INEVITABLE MISTAKES. RESIDENTS WILL HAVE UP TO ONE YEAR FROM THE EFFECTIVE DATE TO COMPLETELY CHANGE OVER TO THE NEW ADDRESS. MAIL DELIVERED TO A P.O. BOX WILL NOT BE AFFECTED. IF MAIL IS DELIVERED TO THE PROPERTY, A COPY OF THIS FORM HAS BEEN SENT TO THE RESPECTIVE POST OFFICE.
39. Assessor Initials*
40. Date:*
    Date:
42. GAS:*
43. ELECTRIC:*
44. PHONE:*
46. DATE OF ISSUE:*
    DATE OF ISSUE:
47. Address Correction?

    1. YES
    2. NO
49. Addressing Official: Please forward copies of the completed form to the Municipal Clerk, Assessor, PROPERTY OWNERS, Post office (when mail delivery is affected) and the Ontario County 9-1-1 Center's Addressing Division.
Leave This Blank:


51. 1. Receive an email copy of this form.
52. Email address

    This field is not part of the form submission.

53. Submit Submit and Print

* indicates a required field