Form It-40es - Indiana Individual Estimated Income Tax Voucher And Account Change Form Page 2
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1
2Change Form
Account Number
xxx xx xxxx xx
xx
New Address
Please correct only the lines of your address that are incorrect.
To report any change to this account call
Your Social Security Number
(317) 232-2240, or complete this form
and mail to the Indiana Department of
Spouse's Social Security Number
Revenue, PO Box 6197, Indianapolis, IN
46206-6197.
Your Name
You may also e-mail the Department at:
Spouse's Name
Address
City
State
Zip Code (+ 4)
E
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Parent category: Financial