Irs Name Change Notification printable pdf download

Irs Name Change Notification

IRS Name Change Notification

Our entity has effectuated a name change and SSA has acknowledged receipt of this fact.

Accordingly, we request that the IRS update their records as follows:

SSA Section 218 Modification # ___________________________________________________

Old entity name ______________________________________________________________

EIN _________________________________________________________________________

New entity name ______________________________________________________________

Signed _______________________________________________________________________

(An officer having the authority to bind the entity for IRS matters must sign.)

Title _________________________________________________________________________

Phone Number ________________________________________________________________

Date _________________________________________________________________________

FAX this form to the IRS at:

(855) 243-4014

Irs Name Change Notification