Form D-40c - Change Of Name Or Address - Office Of Tax And Revenue - District Of Columbia Page 2
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2
3*070400720000*
New information
Your fi rst name
Last name
M.I.
Spouse’s/registered domestic partner’s fi rst name
M.I.
Last name
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
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page 2
D-40C Change of Name or Address
Send this form to: Offi ce of Tax and Revenue, PO Box 470, Washington DC 20044-0470
-12-
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