How do I submit the address or name change form?

Return it to your town assessor or Wyoming County Real Property Tax Service at 143 Main St., Ste. 303, Warsaw, NY 14569. The form also lists email and fax contact details.

What attachments are required for a name change?

Enclose a marriage certificate or divorce decree with a name-change request. The form says the certificate or decree must be enclosed to make the change.

Does this form change legal ownership of the property?

No. The form says the change affects the assessment roll only. Steps must be taken separately to change legal title to the property.

Wyoming County, NY · Wyoming County

No notary required

Changes to Address and/or Name

Property owners use this form to request an address or name change on the Wyoming County assessment roll.

At a glance

Issued by: City of Wyoming County · Wyoming County, Wyoming County, New York
Notarization: Not required: file this form without a notary.
Official source: wyomingcountyny.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

Property owners use this form to request a change to the mailing address or name listed on the assessment roll. It asks for the town, tax map number, current and new address or name, and the reason for a name change. Name changes require a marriage certificate or divorce decree, and removal of a deceased owner requires a death certificate; the form states that it does not change legal title to the property.

Who needs it

Property owners requesting a mailing address change, name change, or removal of a deceased owner from the assessment roll need this form.

How to submit it

Return the completed form to your town assessor or Wyoming County Real Property Tax Service, 143 Main St., Ste. 303, Warsaw, NY 14569. The form also lists an email and fax number.

About notarization

This form is signed and dated without a notary; include a marriage certificate or divorce decree for a name change, or a death certificate to remove a deceased owner.

How to submit this form

1
Download the Form
Download the Wyoming County Changes to Address and/or Name form.
2
Complete the Relevant Section
Enter the town and tax map number, then complete the section for an address change, name change, or removal due to death.
3
Gather Required Attachments
For a name change, enclose a marriage certificate or divorce decree. To remove a deceased owner, enclose a death certificate.
4
Sign and Date
Sign and date the form at the bottom.
5
Return the Form
Return it to your town assessor or Wyoming County Real Property Tax Service at the address provided on the form.

Frequently asked questions

Do I need a notary for the address or name change form?: No. Sign and date the form without a notary. Include a marriage certificate or divorce decree for a name change, or a death certificate to remove a deceased owner.
How do I submit the address or name change form?: Return it to your town assessor or Wyoming County Real Property Tax Service at 143 Main St., Ste. 303, Warsaw, NY 14569. The form also lists email and fax contact details.
What attachments are required for a name change?: Enclose a marriage certificate or divorce decree with a name-change request. The form says the certificate or decree must be enclosed to make the change.
Does this form change legal ownership of the property?: No. The form says the change affects the assessment roll only. Steps must be taken separately to change legal title to the property.

Need something notarized?

This Changes to Address and/or Name doesn’t need a notary, but if you have another Wyoming County form that does, a commissioned online notary can help.