Form D-40es - Change Of Address, Worksheet And Amended Computation Schedule - 2001 Page 5

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GOVERNMENT OF THE DISTRICT OF COLUMBIA
D-40ES
INDIVIDUAL ESTIMATED TAX
OFFICE OF THE CHIEF FINANCIAL OFFICER
OFFICE OF TAX AND REVENUE
CHANGE OF ADDRESS
If you have moved, please fill out this form and mail it to the Government of the District of Columbia, Office of Tax and Revenue,
P.O. Box 470, Washington, DC 20044-0470.
YOUR SOCIAL SECURITY NUMBER
DATE MOVED OR NAME CHANGED
SPOUSE’S SOCIAL SECURITY NUMBER
NEW NAME OR MAILING ADDRESS
PREVIOUS NAME OR MAILING ADDRESS
PHONE NUMBER
PERSON TO CONTACT
All other changes require direct communication with our
Customer Service Administration – (202) 727-4TAX(4829).

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