Change Of Name Or Address Form - Rhode Island Division Of Taxation

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S
R
I
P
P
TATE OF
HODE
SLAND AND
ROVIDENCE
LANTATIONS
D
T
IVISION OF
AXATION
R
S
EGISTRATION
ECTION
O
C
H
- S
2
NE
APITOL
ILL
UITE
P
, RI 02908-5800
ROVIDENCE
CHANGE OF NAME OR ADDRESS FORM
Record to be changed:
Sales Tax
ID#
Withholding
FEI#
Other
ID#
Tax Type
Enter Changed Information ONLY:
Name
Address
City, State and Zip Code
Telephone Number
Person completing this form:
Contact phone number:
Date:
MAIL FORM TO THE ABOVE ADDRESS OR FAX IT TO (401) 574-8913
revd 3/25/2008

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