Quick and Easy Saves you a trip to the Post Office - Presented by Tom Shaft of Edward Surovell Realtors


		Brought to you by: Tom Shaft of Surovell Realtors

Quick and Easy
Saves you a trip to the Post Office - takes less than 5 minutes.

Safe and Secure
Verifies your identity - requires a valid credit card.
Email Confirmation
Sends you an immediate email confirmation of your Change of Address.

Note

The person who prepares this form states that he or she is the person, executor, guardian, authorized officer, or agent of the person for whom mail would be forwarded under this order. Anyone submitting false or inaccurate information on this form is subject to punishment by fine or imprisonment or both under Sections 2, 1001, 1702 and 1708 of Title 18, United States Code.

Privacy Act Statement

The information you supply will be used to provide you with the requested mail forwarding and related services. Please be aware that this service is voluntary, and that requested information is required to provide the service. Collection of information for this service is authorized by 39 U.S.C. ''403 and 404. We do not disclose your personal information to anyone, except in accordance with the Privacy Act. Authorized disclosures include limited circumstances such as the following: (a) to other government agencies or bodies: when relevant to a decision concerning employment, security clearances, security or suitability investigations, contracts, licenses, grants or benefits; for law enforcement purposes; for voter registration purposes; for jury service duties; and at your request; (b) legal proceedings: in a proceeding in which the USPS is a party or has an interest; or for the service of legal process; (c) to a congressional office at your request; (d) to contractors if the disclosure is necessary to fulfill an agency function; or (e) to mailers, if already in possession of your name and old mailing address, as an address correction service. Information will also be provided to licensed service providers of the USPS to perform mailing list correction service of lists containing your name and old address. A list of these licensed service providers can be obtained at the following URL: http://ribbs.usps.gov/files/ncoalink/CERTIFIED_LICENSEES.  For information regarding additional protections provided by our privacy policies, we welcome you to visit our privacy commitment to you via the link below.

I understand and acknowledge the statements above.

Note: If you are unable to use a credit card and a valid email address, you will be able to print the Change of Address form and then mail or deliver the printed form to your local Post Office^TM.

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