2. Refer to the address label on this page. If that address is NOT the MAILING address of this residence, print the mailing address below.
House number _ _ _ _ _ _ _ _ _
Development/condominium name ____________
Street or road name, rural route and box, or PO box ________
Apartment number _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
City ________
State ZIP Code _ _ _ _ _ - _ _ _ _