DO-5 Name or Address Change Form Rev. 8-17

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kansas department OF REVENUEDivision of TaxationNAME OR Address Change FORMIndividualCurrent name :o I am changing my name . ( name return was filed under)o I am changing my Security Number Contact me by Home Phone Number Old Email Address_________________________________ ________________________________________ ________________________Spouse Social Security Number Contact me by Cell Phone Number Current Email Address_________________________________ ________________________________________ ________________________New name (Include spouse s full name if filed jointly)________________________________ ________________________________________ _________________________New Address (street, city, state and zip code)

KANSAS DEPARTMENT OF REVENUE Division of Taxation. NAME OR ADDRESS CHANGE FORM. Individual. Current Name: o I am changing my name. (Name …

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