Texas Comptroller (Seller ID 21430) - Change of Shipping Address Authorization

Change of Shipping Address Authorization

To Texas Comptroller of Public Accounts-Unclaimed Property (Seller ID 21430)
Your Name:*

First NameLast Name
Your Driver's License or State Identification Card:*

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Your Buyer ID:*
Note: Please refer to your Buyer's Certificate
Your Phone Number:*
Your E-mail Address:*
How many items need a change of shipping address?*
Item #1 - Please provide the Asset ID:
Note: Please refer to your Buyer's Certificate
Item #2 - Please provide the Asset ID:
Note: Please refer to your Buyer's Certificate
Item #3 - Please provide the Asset ID:
Note: Please refer to your Buyer's Certificate
Item #4 - Please provide the Asset ID:
Note: Please refer to your Buyer's Certificate
What is the new shipping address?

Street Address

Street Address Line 2

CityState

Zip Code
I understand that all items are sold "As Is, Where Is" and without warranty. I acknowledge that once these item/s have been shipped from the seller's premises, the sale is considered final and there will be no refund of monies previously paid.

Property will be shipped Federal Express ground home delivery, full insurance in the amount of the sale price once payment has been received. Items will be shipped with signature required. Once FedEx signatures are processed, all claims are to be made directly with FedEx and not the seller.

We strive to ship items within 24 hours of payment, Monday-Thursday and encourage you to track your packages for accurate delivery information. Delays in receiving this form may cause delays in shipping.
Your Signature:*

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