Transcription of DO-5 Name or Address Change Form Rev. 8-17
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Example: tourism industry
DO-5 Name or Address Change Form Rev. 8-17
kansas department OF REVENUED ivision of TaxationNAME OR Address Change FORMI ndividualCurrent 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)_____SignatureDateBusiness_____Curr ent Business name Current EIN/SSNo I am changing my business name . New name : _____oI am changing my Address : o Business Mailing Addresso Business Location AddressoI am correcting my EIN: o New EINo Old EIN _____This Change will affect the following tax accounts:o Retailers Sales Taxo Dry Cleaning Surcharge o Tire Excise Taxo Withholding Taxo Liquor Drink Taxo Transient Guest Taxo Consumers Compensating Use Tax o Liquor Enforcement Tax o Vehicle Rental Excise Taxo Retailers Compensating Use Taxo Nonresi
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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