Arizona Form 822 - Change Of Address
Download a blank fillable Arizona Form 822 - Change Of Address in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Arizona Form 822 - Change Of Address with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1ARIZONA FORM
EFFECTIVE DATE
Change of Address
822
Please type or print.
Use this form to notify the Arizona Department of Revenue of a change in your mailing address. Submit separate forms for home and business addresses.
Check each box for the forms affected by this change:
1
Individual income tax returns (Arizona Forms 140, 140A, 140EZ, 140PY, 140NR, 140PTC, 141AZ)
If your last return was a joint return and you are now establishing a residence separate from the spouse with whom you fi led that return;
check here.
2
Business returns (Arizona Forms 99, 99T, 120, 120A, 120S, 141AZ, 165)
3a
Name (fi rst name, initial, and last name for individual)
3b Your Social Security Number
3c Employer Identifi cation Number
4a
Spouse’s Name (fi rst name, initial, and last name)
4b Spouse’s Social Security Number
5
Prior Name (Complete this line if the name(s) is/are changed since last fi ling.)
6a
Old Address (Number, street, apt./suite number or PO Box Number)
6b Spouse’s Old Address (Number, street, apt./suite number or PO Box Number)
Complete line 6b only if different from address on line 6a.
City, town or post offi ce, state, ZIP Code
City, town or post offi ce, state, ZIP Code
(If a foreign address, city, province/state, postal code, and country.)
(If a foreign address, city, province/state, postal code, and country.)
7
New Address (Number, street, apt./suite number or PO Box Number)
City, town or post offi ce, state, ZIP Code (If a foreign address, city, province/state, postal code, and country.)
Your Signature
Spouse’s Signature
Date
Date
Print
Reset form
Mail to: Arizona Department of Revenue, P.O.Box 29086, Phoenix AZ 85038-9086
ADOR 10173 (5/12)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form 8822 - Change Of Address (for Individual, Gift, Estate, Or Generation-skipping Transfer Tax Returns)
Financial
Form 8822 - Change Of Address (for Individual, Gift, Estate, Or Generation-skipping Transfer Tax Returns)
Financial
Related Categories
Parent category: Financial