Change Of Address
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Change of Address
8822
0MB No. 1545-1163
~ Please type or print.
Oepartmen o he T easery
I~ See instructions on back.
Do not attach this form to your return.
aena Pee ue5ervce
~‘
Complete This Part To Chan e Your Home Mailin Address
Check all boxes this change affects:
1 El Individual income tax returns (Forms 1040, 1040A, 1O4OEZ, TaleFile, 1040NR, etc.)
~ If your last return was a joint return and you are now establishing a residence separate
from the spouse with whom you filed that return, check here
~‘
El
2 El Gift, estate, or generation-skipping transfer tax returns (Forms 706, 709, etc.)
~‘ For Forms 706 and 706-NA, enter the decedent’s name and social security number below.
~Decedent’sname
~Socialsecuritynumber
3a Your name (first name, initial, and last name)
3b Your social security number
4a Spouse’s name (firat name, initial, and eat name)
4b Spouse’s social security number
5
Prior name(s). See instructions.
6a Old address (no., street, city or town, state, and ZIP code). If a P.O. box or foreign address, see instructions.
Apt. no.
6b Spouse’s old address, if different from line 6a (no., street, city or town, state, and ZIP code). If a P.O. box or foreign address, see instructions.
Apt. no.
7
New address (no., street, city or town, state, and ZIP code). If a P.O. box or foreign address, see instructions.
Apt, no.
I~II
Complete This Part To Change Your Business Mailing Address or Business Location
Check all boxes this change affects:
8 El Employment, excise, income, and other business returns (Forms 720, 940, 940-EZ, 941, 990, 1041, 1065, 1120, etc.)
9 El Employee plan returns (Forms 5500, 5500-EZ, etc.).
10 El Business location
11 a Business name
11 b Employer idantitication number
12
Old mailing address (no., street, city or town, state, and ZIP code). If a RO. box or foreign address, see instructions.
Room or suite no.
13 New mailing address (no., street, city or town, state, and ZIP code). If a P.O. box or foreign address, see instructions.
Room or suite no.
14 New business location (no., street, city or town, state, and ZIP code). Ifs foreign address, see instructions.
Room or suite no.
~~ignature
Daytime telephone number of person to contact (optional) ~‘
Sign
~ Your signature
Date
I f Part II completed, sigastere of owner, officer, or represestatise Date
Here
L
I
Ktie
F’ If joint return, spouse’s signature
Date
8822
cat.
Form
(Rev. 12-2003)
For Privacy Act and Paperwork Reduction Act Notice, see back of form.
No. 12081V
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