Form Rpd-41260 - Personal Income Tax Change Of Adress Form - State Of New Mexico Taxation And Revenue Department

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RPD-41260
State of New Mexico - Taxation and Revenue Department
06/2010
PERSONAL INCOME TAX CHANGE OF ADDRESS FORM
PURPOSE OF THIS FORM: Individuals may use Form RPD-41260, Personal Income Tax Change of Address
Form, to notify the Taxation and Revenue Department of a change in address.
HOW TO COMPLETE THIS FORM: Enter the effective date of change. Enter your name and social security
number. If married, also enter your spouse’s name and social security number. Enter a prior name if you or your
spouse’s name has changed since last filing. Enter both your previous and new home address. Be sure to include
any apartment numbers. You and your spouse (if applicable) must sign and date the form.
Mail this form to the Taxation and Revenue Department, P O Box 25122, Santa Fe, New Mexico 87504-5122.
For assistance call your local district office (see back of page for listing).
If you wish to change your business address, use Form ACD-31075, Business Tax Registration Update. If you
wish to change your address with the Motor Vehicle Division, please complete Form MVD-10284, Change of Ad-
dress Request. These forms are available on the Department’s internet site and at your local district office (see
back of this form for details).
COMPLETE THE SECTION BELOW TO CHANGE YOUR ADDRESS OF RECORD
FOR PERSONAL INCOME TAX PURPOSES
EFFECTIVE DATE ____________________
PREVIOUS ADDRESS
Taxpayer name
Spouse’s name (if married filing jointly)
Social security number
Spouse’s social security number
Prior name (complete this line if the name has changed since last filing)
Prior name (complete this line if the name has changed since last filing)
Address (number, street, apt./suite number or post office box)
Address (number, street, apt./suite number or post office box)
City, state and ZIP code
City, state and ZIP code
NEW ADDRESS
Address (number, street, apt./suite number or post office box)
Address (number, street, apt./suite number or post office box)
City, state and ZIP code
City, state and ZIP code
Telephone number
E-mail address
YOU MUST SIGN AND DATE THIS FORM
___________________________________________
__________________________________________
Taxpayer’s signature
Spouse’s signature
___________________________________________
__________________________________________
Date
Date

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