Change of Address Form "*" indicates required fields INSTRUCTIONS: Complete this form, gather required documentation as requested, and bring them to the County Clerk’s office. Section 1 - Owner InformationFull Legal Name (Print)* First Middle Last Email PhonePrevious Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code New Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Section 2 - Vehicle InformationVehicle or Boat Information* Passenger Car Truck Motorcycle Trailer Boat Other ________ Year* Make* Model* Body Style County* VIN* License Plate #* Name* Additional NamesInclude any and all names titles could be listed under (spouse, kids, cosigner, etc)Trailer Dimensions Section 3 - Ownership AcknowledgementThe undersigned owner attests that he or she is the owner of the vehicle/boat described herein and that there is no legible vehicle/boat identification number and requests that the Transportation Cabinet assign a VIN/HIN for this vehicle or vessel.* I attest I am the owner of stated VehicleThe undersigned owner attests that he or she is the owner of the vehicle/boat described herein and that there is no legible vehicle/boat identification number and requests that the Transportation Cabinet assign a VIN/HIN for this vehicle or vessel.Signature*Date* MM slash DD slash YYYY