Form It-9 - Change Of Address - City Of Columbus Income Tax Division - 2015
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1IT-9
City of Columbus, Income Tax Division
Change of Address
CHANGE YOUR HOME MAILING ADDRESS
Part 1
Individual income tax returns (Forms IR-22, IR-25, IR-21, IR-18 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.................
1. Your name (first name, middle initial and last name)
1a. Your Social Security Number
2a. Spouse’s Social Security Number
2. Spouse’s name (first name, middle initial and last name)
3. Prior name(s)
4. Old address (number, street, city or town, state and zip code)
Apt. No.
Apt. No.
Date of Move
5. New address (number, street, city or town, state and zip code)
Part 2
CHANGE YOUR BUSINESS MAILING ADDRESS OR BUSINESS LOCATION
Check all boxes this change affects:
Business net profit returns (Forms BR-25, BR-21, BR-18 etc.)
6.
Employer withholding returns (Forms IT-11, IT-13, IT-15 etc.)
7.
Business location
8.
9a. EIN/FID Number
9. Business name
10. Old mailing address (number, street, city or town, state and zip code)
Room or Suite no.
11. New mailing address (number, street, city or town, state and zip code)
Room or
Date of Move
New Telephone No.
Suite No.
(
)
New Fax No.
(
)
Part 3
SIGNATURE
Print Form
Reset Form
(
)
Daytime telephone number of person to contact (optional)
_______
____________________
Sign
If Part 2 completed, signature of owner, officer or representative
Date
Your signature
Date
Here
Title
If joint return, spouse’s signature
Date
Rev. 6/17/15
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