Form Dmv 14 - Notice Of Change Of Address Form

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MAIL COMPLETED FORM TO:
NOTICE OF CHANGE OF ADDRESS
DMV CHANGE OF ADDRESS
DMV USE ONLY
P. O. BOX 942859
DL address
Read the instructions carefully
A Public Service Agency
SACRAMENTO, CA 94259-0001
updated by FO
24002
Please Print Characters Only In Capital Letters Using Black or Blue Ink.
1 2 3 4 5 6 7 8 9 0
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
A separate form is needed for each driver or vehicle owner. Enter the information exactly as shown on your California driver license, ID card, disabled person placard, registration card or
certificate of number for which a change or correction is being requested. DMV cannot update unreadable or incomplete information. Type or write your new address on a small piece of paper
or card, sign and date the card, and keep it with your driver license or ID card.
LAST NAME
DRIVER LICENSE/ID CARD NO.
Personal
Information
FIRST
INITIAL
BIRTH DATE
M M — D D — Y Y Y Y
FOR REGISTERED VOTERS ONLY
Voter Change
We will change your voting address if you have moved and still live in the same county. If you have moved to a new county or are not registered
of Address
to vote, you must complete a new voter registration card. DMV provides the form or call 1-800-345-VOTE.
(Use only with
DL Change of
X
N
No, I do not want you to change my voting address.
Address)
STREET NUMBER
STREET NAME
New or
Correct
Residence
APT NO.
Address
Do No Use
P. O. Box
CITY - DO NOT ABBREVIATE - USE FIRST 22 CHARACTERS IN CITY NAME
STATE
ZIP CODE
STREET NUMBER
STREET NAME
New or
Correct
Mailing Address
APT NO.
(If Different
From
Residence
CITY - DO NOT ABBREVIATE - USE FIRST 22 CHARACTERS IN CITY NAME
STATE
ZIP CODE
Address Above)
CHECK IF
Vehicles or
CALIFORNIA PLATE/CF/PLACARD NO.
LAST 17 POSITIONS OF VEHICLE ID OR VESSEL HULL ID NUMBER
LEASED
Vessels Owned
X
By You (Use
Additional
X
Forms If
Necessary)
X
LEASING COMPANY’S NAME
Leased
Vehicles
STREET NUMBER
STREET NAME
Location of
Trailer Coach
or Vessel
(If Different
From
CITY - DO NOT ABBREVIATE - USE FIRST 16 CHARACTERS IN CITY NAME
COUNTY - DO NOT ABBREVIATE
Residence
Address)
Previous
_____________________________________________________________________________________________________________
Address
STREET NUMBER/NAME
CITY
STATE
ZIP CODE
Your mailing address may be given to requesters providing a valid reason for requesting the information. If you receive mail at your residence, then giving DMV a
separate mailing address is optional. Your residence address is restricted to authorized requesters per Vehicle Code Section 1808.22. I am the person whose name
appears on the record(s) above and the mailing address shown is valid, existing and accurate. I consent to receive service of process at this mailing address
pursuant to 415.20(b), and 416.90 of the Civil Procedure Code. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and
correct.
SIGNATURE
M M — D D — Y Y Y Y
X
DMV 14 (REV. 6/99) WWW

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