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Name and/or Address Change Request

  1. Notice
    Do not include any sensitive information on this form or (if applicable) files uploaded to this form. Sensitive information includes, but is not limited to, social security numbers, driver’s license numbers, bank account information, routing numbers, medical information, passport numbers, or passwords.
  2. Utilize this form to submit a name and/or address change request to the Berrien County Treasurer's Office.
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  4. This field is not part of the form submission.