Change Of Address (Page 2 of 2) in pdf

Page

Form 8822 (Rev. 12-2003)

Purpose of Form

Filers Who Checked the Box on

Alabama, Alaska, Arizona,

Arkansas, California,

Line I and Completed Part I

You may use Form 8822 to notify the

Colorado, Florida, Georgia,

Internal Revenue Service if you changed

Hawaii, Idaho, Iowa,

IF your old home mailing

your home or business mailing address or

Kansas, Louisiana,

address was

THEN use this

Minnesota, Mississippi,

your business location. If this change also

in ...

address

Missouri, Montana,

Ogden, UT 84201

affects the mailing address for your

Nebraska, Nevada, New

Alabama, Florida, Georgia,

children who filed income tax returns,

Mexico, North Dakota,

Mississippi, North carolina,

Atlanta, GA ~ggoi

complete and file a separate Form 8822 for

Oklahoma, Oregon, South

Rhode Island, South carolina,

each child. If you are a representative

Dakota, Tennessee, Texas,

West Virginia

utah, washington,

signing for the taxpayer, attach to Form

Arkansas, colorado, Kentucky,

Wyoming

8822 a copy of your power of attorney.

Louisiana, New Mexico,

Austin, TX 73301

Outside the united States

Philadelphia, PA 19255

Changing Both Home and Business

Oklahoma, Tennessee, Texas

If you are, use a separate

Addresses?

Alaska, Arizona, california,

Privacy Act and Paperwork Reduction

8822 to show each change.

Form

Hawaii, Idaho, Montana,

Fresno, CA 93888

We ask for the information on

Act Notice.

Nevada, Oregon, utah,

this form to carry out the Internal Revenue

Prior Name(s)

washington, wyoming

laws of the United States. We may give the

If you or your spouse changed your name

information to the Department of Justice

Maine, Massachusetts,

because of marriage, divorce, etc.,

and to other Federal agencies, as provided

New Hampshire, New York,

Andover, MA 05501

complete line 5. Also, be sure to notify the

Vermont

by law. We may give it to cities, states, the

Social Security

of your

Administration

District of Columbia, and U.S.

Delaware, Illinois, Indiana,

new name so that it has the same name in

commonwealths or possessions to carry

Iowa, Kansas, Michigan,

its records that you have on your tax

out their tax laws. We may give it to

Minnesota, Missouri,

Kansas city, MO 64999

return. This prevents delays in processing

foreign governments because of tax

Nebraska, North Dakota,

your return and issuing refunds. It also

treaties they have with the United States.

South Dakota, wisconsin

safeguards your future social security

We may also give this information to

benefits.

Ohio, Virginia

Memphis, TN 37501

Federal and state agencies to enforce

Federal nontax criminal laws and to

connecticut,

Addresses

combat terrorism.

District of columbia,

Maryland, New Jersey,

Philadelphia, PA 19255

Our legal right to ask for information is

Be sure to include any apartment, room, or

Pennsylvania

Internal Revenue Code sections 6001 and

suite number in the space provided.

6011, which require you to file a statement

American Samoa

Philadelphia, PA 19255

RO. Box

with us for any tax for which you are liable.

Department of Revenue

Section 6109 requires that you provide

Enter your box number instead of your

and Taxation

Guam:

Government of Guam

your social security number on what you

street address only if your post office does

Permanent residents

P.O. Box 23607

file. This is so we know who you are, and

not deliver mail to your street address.

can process your form and other papers.

GMF, GU 96921

Foreign Address

You are not required to provide the

Guam:

Nonpermanent residents

information requested on a form that is

Enter the information in the following order:

Puerto Rico (or if excluding

subject to the Paperwork Reduction Act

city, province or state, and country. Follow

income under Internal

Philadelphia, PA 19255

unless the form displays a valid 0MB

the country’s practice for entering the

Revenue code section

control number. Books or records relating

postal code. Please

abbreviate the

do not

933)

to a form or its instructions must be

country name.

Virgin Islands:

Nonpermanent residents

retained as long as their contents may

become material in the administration of

Signature

V. I. Bureau of

any Internal Revenue law. Generally, tax

Internal Revenue

Virgin Islands:

9601 Estate Thomas

If you are completing Part II, the owner, an

returns and return information are

Permanent residents

charlotte Amalie

officer, or a representative must sign. An

confidential, as required by section 6103.

St. Thomas, VI 00802

officer is the president, vice president,

The use of this form is voluntary.

treasurer, chief accounting officer, etc. A

Foreign country:

However, if you fail to provide the Internal

representative is a person who has a valid

u.s. citizens and those

Revenue Service with your current mailing

filing Form 2555,

power of attorney to handle tax matters or

address, you may not receive a notice of

Form 2555-EZ, or

Philadelphia, PA 19255

is otherwise authorized to sign tax returns

deficiency or a notice and demand for tax.

Form 4563

for the business.

Dual-status aliens

Despite the failure to receive such notices,

All APO and FPO addresses

penalties and interest will continue to

Where To File

accrue on the tax deficiencies.

Filers Who Checked the Box on

The time needed to complete and file

Send this form to the Internal Revenue

Line 2 or Completed Part II

this form will vary depending on individual

shown next that applies to

_____________________________________

Service Center

IF your old business address

THEN use this

circumstances. The estimated average time

you

was in

address...

is 16 minutes.

...

If you checked the box on line

If you have comments concerning the

connecticut, Delaware,

2, see

Filers Who Checked

District of columbia, Illinois,

accuracy of this time estimate or

the Box on Line 2 or

Indiana, Kentucky, Maine,

suggestions for making this form simpler,

for where to

Completed Part II

Maryland, Massachusetts,

we would be happy to hear from you. You

file this form.

Michigan, New Hampshire,

cincinnati, OH 45999

can write to the Tax Products Coordinating

New Jersey, New York, North

Committee, Western Area Distribution

Carolina, Ohio, Pennsylvania,

Center, Rancho Cordova, CA 95743-0001.

Rhode Island, South Carolina,

Vermont, Virginia, West

send the form to this address.

Do not

Virginia, wisconsin

Instead, see

File on this page.

Where To

paper

Prfnted on recycled

U.S. Gevernment Pnnting Office 495-018

Change Of Address Page 2

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