Fillable Change Of Address printable pdf download

Change Of Address

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401

STATE OF ALASKA

DIVISION OF MOTOR VEHICLES

CHANGE OF ADDRESS

MAILING ADDRESS

CITY

STATE

ZIP CODE

RESIDENCE ADDRESS

CITY

STATE

ZIP CODE

I WANT TO RECEIVE NOTIFICATIONS BY:

E-MAIL ADDRESS

E-MAIL

MAIL

PLEASE PROVIDE INFORMATION FOR ALL VEHICLES AFFECTED BY THIS CHANGE OF ADDRESS:

LICENSE PLATE / HULL NUMBER

LAST 2 DIGITS OF VIN / HIN

LICENSE PLATE / HULL NUMBER

LAST 2 DIGITS OF VIN / HIN

LICENSE PLATE / HULL NUMBER

LAST 2 DIGITS OF VIN / HIN

LICENSE PLATE / HULL NUMBER

LAST 2 DIGITS OF VIN / HIN

PLEASE PROVIDE INFORMATION FOR ALL DRIVER LICENSE / ID CARDS AFFECTED BY THIS CHANGE OF ADDRESS:

DRIVER LICENSE / ID NUMBER

DATE OF BIRTH

DRIVER LICENSE / ID NUMBER

DATE OF BIRTH

I certify under penalty of law that the address shown is my true legal address and that all information is true and correct. False statements are punishable under AS 11.56.210.

_____

____ __/_________/________

PRINTED NAME

SIGNATURE

DATE

_____

____ __/_________/________

PRINTED NAME

SIGNATURE

DATE

You may return this form to any SOA DMV Office or mail it to:

Division of Motor Vehicles