Change of Address Form

2. 
   COMMISSIONER OF THE REVENUE

   COUNTY OF HENRY

   PO BOX 1077

   COLLINSVILLE VA 24078-1077

   PHONE: (276) 634-4690

3. CHANGE OF ADDRESS FORM
5. Important

   Please complete this form to report a change in address so that future bills will be mailed to the correct address. It is very important to also update your address with the Department of Motor Vehicles.

   Allow 2-3 business days for us to process your request. A reply email or phone call will be sent to you from a staff member when the account has been updated or if more information is needed.

   If you are moving into Henry County, please contact the Commissioner of the Revenue's office at (276) 634-4690.

7. Select type of address*
   -- Select One --IndividualBusiness
8. Please check one:*

   1. Business
   2. Real Estate
   3. Personal Property
9. Date Moved*
   Date Moved
11. First Name*
12. Middle Initial
13. Last Name*
15. Daytime Phone Number*
16. Email*
18. Customer Number, Parcel Number or Bill Number*

22. Previous Address

24. Street Number and Name*
26. Apt/Unit Number
28. City*
29. State*
30. Zip Code*

34. New Address

36. Street Number and Name*
38. Apt/Unit Number
40. City*
41. State*
42. Zip Code*
Leave This Blank:


44. Submit

* indicates a required field