Form D-40c - Change Of Name Or Address - Office Of Tax And Revenue - District Of Columbia

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D-40C Change of Name or Address
Government of the
*070400710000*
District of Columbia
Important:
Fill out both sides.
Old information
Your fi rst name
Last name
M.I.
Spouse’s/registered domestic partner’s fi rst name
Last name
M.I.
Your social security number
Spouse’s/domestic partner’s social security number
Your daytime phone number
Home address (number, street and apartment number if applicable)
City
State
Zip Code + 4
-
page 1
-11-

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