8822 Change of Address - IRS tax forms

1 Change of AddressForm8822 OMB No. 1545-1163(Rev. Dec. 2001) Please type or of the TreasuryInternal Revenue ServiceCheck all boxes this Change affects:1 Individual income tax returns ( forms 1040, 1040A, 1040EZ, TeleFile, 1040NR, etc.) If your last return was a joint return and you are now establishing a residence separatefrom the spouse with whom you filed that return, check here Gift, estate, or generation-skipping transfer tax returns ( forms 706, 709, etc.)2 Your social security number3a3bYour name (first name, initial, and last name)Spouse s social security number4a4bSpouse s name (first name, initial, and last name)5 Prior name(s). See s old Address , if different from line 6a (no., street, city or town, state, and ZIP code). If a box or foreign Address , see Address (no., street, city or town, state, and ZIP code). If a box or foreign Address , see Address (no.)

2 , street, city or town, state, and ZIP code). If a box or foreign Address , see joint return, spouse s signatureForm8822(Rev. 12-2001)Cat. No. 12081V See instructions on back. Do not attach this form to your This Part To Change Your Home Mailing AddressApt. This Part To Change Your Business Mailing Address or Business LocationDateIf Part II completed, signature of owner, officer, or representativeDateYour signature()Daytime telephone number of person to contact (optional) Signature13 New mailing Address (no., street, city or town, state, and ZIP code). If a box or foreign Address , see mailing Address (no., street, city or town, state, and ZIP code). If a box or foreign Address , see identification number11a11bBusiness nameCheck all boxes this Change affects:8910 Employment, excise, income, and other business returns ( forms 720, 940, 940-EZ, 941, 990, 1041, 1065, 1120, etc.

3 Employee plan returns ( forms 5500, 5500-EZ, etc.). For Privacy Act and Paperwork Reduction Act Notice, see back of form . For forms 706 and 706-NA, enter the decedent s name and social security number location14 New business location (no., street, city or town, state, and ZIP code). If a foreign Address , see or suite or suite or suite IIIPart IPart IIApt. no. Decedent s name Social security numberPage2 form 8822 (Rev. 12-2001)Send this form to the Internal RevenueService Center shown next that applies , CA 93888 Connecticut, Delaware,District of Columbia,Indiana, Maine, Maryland,New Hampshire,Pennsylvania, VermontIF your old home mailingaddress wasin..Philadelphia, PA 19255 Alabama, Arkansas, Kentucky,Louisiana, Mississippi,Tennessee, VirginiaFlorida, Georgia, NorthCarolina, South Carolina,West VirginiaAtlanta, GA 39901 Memphis, TN 37501 New Jersey, New York (NewYork City and counties ofNassau, Rockland, Suffolk,and Westchester)Illinois, Iowa, Kansas,Minnesota, Missouri,Oklahoma, Utah, WisconsinKansas City, MO 64999 Holtsville, NY 00501 American SamoaPhiladelphia, PA 19255 Massachusetts, Michigan,New York (all other counties),Rhode IslandDepartment of Revenueand TaxationGovernment of Box 23607 GMF, GU 96921 Andover, MA 05501 Guam:Permanent residentsGuam:Nonpermanent residentsPuerto Rico (or if excludingincome under InternalRevenue Code section933)Virgin Islands:Nonpermanent residentsPhiladelphia, PA 19255V.

4 I. Bureau ofInternal Revenue9601 Estate ThomasCharlotte AmalieSt. Thomas, VI 00802 Virgin Islands:Permanent residentsForeign citizens and thosefiling form 2555, form 2555-EZ, orForm 4563 Philadelphia, PA 19255 All APO and FPO addressesPrivacy Act and Paperwork ReductionAct Notice. We ask for the information onthis form to carry out the Internal Revenuelaws of the United States. We may give theinformation to the Department of Justiceand to other Federal agencies, as providedby law. We may also give it to cities,states, the District of Columbia, and or possessions to carryout their tax laws. And we may give it toforeign governments because of taxtreaties they have with the United time needed to complete and filethis form will vary depending on individualcircumstances. The estimated average timeis 16 you have comments concerning theaccuracy of this time estimate orsuggestions for making this form simpler,we would be happy to hear from you.

5 Youcan write to the Tax forms Committee,Western Area Distribution Center, RanchoCordova, CA 95743-0001. Do not send theform to this Address . Instead, see WhereTo File on this of FormYou may use form 8822 to notify theInternal Revenue Service if you changedyour home or business mailing Address oryour business location. If this Change alsoaffects the mailing Address for yourchildren who filed income tax returns,complete and file a separate form 8822 foreach child. If you are a representativesigning for the taxpayer, attach to Form8822 a copy of your power of Name(s)If you or your spouse changed your namebecause of marriage, divorce, etc.,complete line 5. Also, be sure to notify theSocial Security Administration of yournew name so that it has the same name inits records that you have on your taxreturn. This prevents delays in processingyour return and issuing refunds.

6 It alsosafeguards your future social BoxEnter your box number instead of yourstreet Address only if your post office doesnot deliver mail to your street AddressEnter the information in the following order:city, province or state, and country. Followthe country s practice for entering thepostal code. Please do not abbreviate thecountry To FileThe use of this form is , if you fail to provide the InternalRevenue Service with your current mailingaddress, you may not receive a notice ofdeficiency or a notice and demand for the failure to receive such notices,penalties and interest will continue toaccrue on the tax use thisaddress.. You are not required to provide theinformation requested on a form that issubject to the Paperwork Reduction Actunless the form displays a valid OMBcontrol number. Books or records relatingto a form or its instructions must beretained as long as their contents maybecome material in the administration ofany Internal Revenue law.

7 Generally, taxreturns and return information areconfidential, as required by section , California, Hawaii,Nevada, OregonAddressesBe sure to include any apartment, room, orsuite number in the space you are completing Part II, the owner, anofficer, or a representative must sign. Anofficer is the president, vice president,treasurer, chief accounting officer, etc. Arepresentative is a person who has a validpower of attorney to handle tax matters oris otherwise authorized to sign tax returnsfor the Who Checked the Box onLine 1 and Completed Part IChanging Both Home and BusinessAddresses? If you are, use a separateForm 8822 to show each your old business addresswas in..Outside the United StatesPhiladelphia, PA 19255 Connecticut, Delaware,District of Columbia, Illinois,Indiana, Kentucky, Maine,Maryland, Massachusetts,Michigan, New Hampshire,New Jersey, New York, NorthCarolina, Ohio, Pennsylvania,Rhode Island, South Carolina,Vermont, Virginia, WestVirginia, WisconsinCincinnati, OH 45999 THEN use thisaddress.

8 Filers Who Checked the Box onLine 2 or Completed Part IIArizona, Colorado, Idaho,Montana, New Mexico, Texas,WyomingAustin, TX 73301 Alabama, Alaska, Arizona,Arkansas, California,Colorado, Florida, Georgia,Hawaii, Idaho, Iowa,Kansas, Louisiana,Minnesota, Mississippi,Missouri, Montana,Nebraska, Nevada, NewMexico, North Dakota,Oklahoma, Oregon, SouthDakota, Tennessee, Texas,Utah, Washington,WyomingOgden, UT 84201 Our legal right to ask for information isInternal Revenue Code sections 6001 and6011, which require you to file a statementwith us for any tax for which you are 6109 requires that you provideyour social security number on what youfile. This is so we know who you are, andcan process your form and other , OH 45999 Nebraska, North Dakota,South Dakota, WashingtonOgden, UT 84201