Form P-706 - Taxpayer Information Change Request

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Taxpayer Information Change Request
Form P‑706 may be used to change your Social Security number, name, address, e‑mail address, or consent to receive
e‑mail notices. If you have any questions please call (608) 266‑2772. Please complete the form as indicated in each section.
Forms submitted without a social security number will not be processed.
Section 1
– Old Information – Complete ALL Items
Name
Social Security Number
Name (spouse)
Social Security Number
Address
E‑Mail Address
City
State
Zip
Section 2
– New Information – Enter CHANGES ONLY
Name
Social Security Number
Name (spouse)
Social Security Number
Address
E‑Mail Address
City
State
Zip
Mark those that apply.
Click on the box you want to select or hit enter after
Name Change
tabbing to the box you want to select.
Separated/Divorced
Social Security Number Correction
Other
E‑mail address correction
I agree to receive notices from the Wisconsin Department of Revenue through the e‑mail address provided
I revoke my agreement to receive notices from the Wisconsin Department of Revenue through the e‑mail address provided
Permanent Address Change (effective date
)
Your Signature
Date
If Joint Return, Spouse’s Signature
Date
Daytime Telephone Number of Contact Person
Note: If you are changing information for any person other than yourself, a Power of Attorney form must be
provided for the changes to take place.
Please mail the completed form to:
Taxpayer Information Changes
Wisconsin Department of Revenue
PO Box 8949
Madison WI 53708‑8949
P‑706 (R. 11‑09)
Wisconsin Department of Revenue

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