Change Of Address Request Form printable pdf download

Change Of Address Request Form

MVD–10284

New Mexico Taxation & Revenue Department, Motor Vehicle Division

REV. 09/09

CHANGE OF ADDRESS REQUEST

The New Mexico Motor Vehicle Division’s automated files will be updated to reflect your new address. All

vehicle registration and driver license notices will be mailed to your mailing address.

NOTE: In order that we may comply with your request and properly update your files to reflect your new

(correct) address it is necessary for you to provide accurate and complete vehicle, driver, and address

information. Failure to give all the required information will result in MVD’s inability to update your record.

PLEASE PRINT LEGIBLY

Driver Information

Driver’s name (as shown on driver’s license)

Date of birth

Social Security Number

Driver’s license number

Vehicle/Vessel Information (as Shown on Title)

Vehicle

or Vessel

Plate or Boat Number

Vehicle or Hull ID Number

Year

Make

New Residence Address

Mailing Address (if Different)

Address

City, State, ZIP Code

Change of Address for Voter Registration

The Motor Vehicle Division is required by rule (1.10.8.18 NMAC) to report any change of address to the

New Mexico Secretary of State as a change of address for voter registration purposes, unless the

individual states on the application that the change of address is not for voter registration purposes, as

may be indicated by checking the box below:

This change of address is not a change of address for voter registration purposes; and I do not want it

to be forwarded to the Secretary of State.

Driver’s Signature and Date

signature

date

Please mail completed Form MVD-10284 to:

MVD DATA ENTRY UNIT

P. O. BOX 630

SANTA FE, N. M. 87504-0630

Change Of Address Request Form