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2. 
6. Date of Request*
   Date of Request
8. Type of Request*

   1. New Address
   2. Change of Address
   3. Address Verification
   4. Suite/Unit/Building Number
9. Type of Address*
   -- Select One --ResidentialNon-ResidentialUtilityOther
13. Property Owner's Information
15. First Name*
16. Last Name*
18. Address
20. City
21. State
22. Zip
24. Phone Number:
25. Email:
29. Property Description
31. ECAD Property ID*

    6 Digit Parcel Id Number.

    If you do not know your parcel id number, you can find it by using Ellis County Property Search https://www.elliscad.com/property-search 

33. Subdivision Name (if applicable)
35. Lot No. (if applicable)
36. Block No. (if applicable)
38. Name of a road from which the property is primarily accessible*
40. Upload a Site Plan

    Please attach a building site plan if possible

Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field