This form will update the contact information for Vacant Licenses only. To update mailing address for utilities contact Support Services at 301-739-8577 ext. 701.

Vacant Property Information

Vacant License #*

Vacant Property Address(es)*

Contact Type*

Owner Resident Agent

Emergency

New Contact Information

Contact Name*

Address Line 1

Address Line 2

City

State

Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMassachusettsMarylandMichiganMinnesotaMississippiMissouriMontanaNorth CarolinaNorth DakotaNebraskaNevada New Hampshire New JerseyNew MexicoNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWest VirginiaWisconsinWyomingWashington D.C.

Zip

Phone Number*

Alternative Phone Number

Fax Number

Email*

By checking this box I hereby agree that the information provided is true and correct to the best of knowledge.*