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2. Instructions:

   Please fill out this form if you are updating your name or mailing address. This only applies to your water and sewer bill(s). Please contact the tax office if you need to update this information on your tax bill(s). They can be reached at 781-270-1625.

4. Service Address*
6. Are you updating your name?*
   -- Select One --YesNo
8. Current Name*
10. Updated Name (if applicable)
12. Are you updating your mailing address?*
    -- Select One --YesNo
14. Updated Addressee (if applicable)
16. Updated Mailing Address (if applicable)
18. City
19. State
20. Zip Code
22. Effective Date of Change
    Effective Date of Change
24. Phone Number*
25. Email Address
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field