Change Of Address Form - South Dakota Department Of Revenue

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South Dakota Department of Revenue
Change of Address Form
Send Change of Address to: SD Department of Revenue, 445 East Capitol Avenue, Pierre, SD 57501
Business Name:______________________________________________________________________
Owner Name: _______________________________________________________________________
License Number: ____________________________________________________________________
Old Address: _______________________________________________________________________
__________________________________________________________________________________
New Address: ______________________________________________________________________
__________________________________________________________________________________
Name: __________________________________________________ Title: ____________________
Signature:________________________________________________ Date: ____________________
RV 131 5-00

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