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8822                                                     Change of Address
Form
                                                                                                                                                             OMB No. 1545-1163
                                                                           Please type or print.
(Rev. December 2008)
Department of the Treasury
                                           See instructions on back.                  Do not attach this form to your return.
Internal Revenue Service

 Part I           Complete This Part To Change Your Home Mailing Address
Check all boxes this change affects:
 1    Individual income tax returns (Forms 1040, 1040A, 1040EZ, 1040NR, etc.)
          If your last return was a joint return and you are now establishing a residence separate
         from the spouse with whom you filed that return, check here

 2        Gift, estate, or generation-skipping transfer tax returns (Forms 706, 709, etc.)
             For Forms 706 and 706-NA, enter the decedent’s name and social security number below.

              Decedent’s name                                                                        Social security number
  3a                                                                                                                      3b
       Your name (first name, initial, and last name)                                                                                        Your social security number




  4a                                                                                                                                   4b
       Spouse’s name (first name, initial, and last name)                                                                                    Spouse’s social security number




  5    Prior name(s). See instructions.



                                                                                                                                                                         Apt. no.
  6a   Old address (no., street, city or town, state, and ZIP code). If a P.O. box or foreign address, see instructions.



                                                                                                                                                                         Apt. no.
  6b   Spouse’s old address, if different from line 6a (no., street, city or town, state, and ZIP code). If a P.O. box or foreign address, see instructions.



                                                                                                                                                                         Apt. no.
  7    New address (no., street, city or town, state, and ZIP code). If a P.O. box or foreign address, see instructions.




Part II           Complete This Part To Change Your Business Mailing Address or Business Location
Check all boxes this change affects:
 8    Employment, excise, income, and other business returns (Forms 720, 940, 940-EZ, 941, 990, 1041, 1065, 1120, etc.)
 9    Employee plan returns (Forms 5500, 5500-EZ, etc.)
10    Business location
11a Business name                                                                           11b Employer identification number


                                                                                                                                                                  Room or suite no.
12     Old mailing address (no., street, city or town, state, and ZIP code). If a P.O. box or foreign address, see instructions.



                                                                                                                                                                  Room or suite no.
 13    New mailing address (no., street, city or town, state, and ZIP code). If a P.O. box or foreign address, see instructions.



                                                                                                                                                                  Room or suite no.
 14    New business location (no., street, city or town, state, and ZIP code). If a foreign address, see instructions.




Part III          Signature

                                                                                (          )
              Daytime telephone number of person to contact (optional)



 Sign
 Here             Your signature                                                    Date                If Part II completed, signature of owner, officer, or representative Date



                  If joint return, spouse’s signature                               Date                Title

                                                                                                                                                              8822
For Privacy Act and Paperwork Reduction Act Notice, see back of form.                                           Cat. No. 12081V                       Form              (Rev. 12-2008)
2
Form 8822 (Rev. 12-2008)                                                                                                                                Page
                                                                                                               Alabama, Alaska, Arizona,
Purpose of Form                                      and the address shown next that applies to
                                                                                                               Arkansas, California, Colorado,
                                                     you. Generally, it takes 4 to 6 weeks to
You can use Form 8822 to notify the Internal                                                                   Florida, Hawaii, Idaho, Iowa,
                                                     process your change of address.
                                                                                                               Kansas, Louisiana, Minnesota,
Revenue Service if you changed your home or
                                                     Note. If you checked the box on line 2, or you            Mississippi, Missouri, Montana,
business mailing address or your business
                                                     checked the box on both lines 1 and 2, send               Nebraska, Nevada, New Mexico,
location. If this change also affects the mailing                                                                                                     Ogden, UT
                                                                                                               North Dakota, Oklahoma,
                                                     this form to: Cincinnati, OH 45999-0023.
address for your children who filed income tax                                                                                                       84201-0023
                                                                                                               Oregon, South Dakota, Texas,
returns, complete and file a separate Form                                                                     Utah, Washington, Wyoming,
                                                     Filers Who Completed Part I
8822 for each child. If you are a representative                                                               any place outside the
                                                     (You checked the box on line 1
signing for the taxpayer, attach to Form 8822 a                                                                United States
copy of your power of attorney.                      only)
Changing both home and business                      IF your old home mailing            THEN use this         Privacy Act and Paperwork Reduction Act
addresses? If you are, use a separate                address was in . . .                address . . .         Notice. We ask for the information on this
Form 8822 to show each change.                                                                                 form to carry out the Internal Revenue laws of
                                                     District of Columbia, Maine,                              the United States. Our legal right to ask for
                                                                                              Andover, MA
Prior Name(s)                                        Maryland, Massachusetts,
                                                                                                               information is Internal Revenue Code sections
                                                                                               05501-0023
                                                     New Hampshire, Vermont
                                                                                                               6001 and 6011, which require you to file a
If you or your spouse changed your name
                                                     Alabama, Florida, Georgia,                                statement with us for any tax for which you are
because of marriage, divorce, etc., complete                                                   Atlanta, GA
                                                     North Carolina, South                                     liable. Section 6109 requires that you provide
line 5. Also, be sure to notify the Social                                                     39901-0023
                                                     Carolina, Virginia
                                                                                                               your social security number on what you file.
Security Administration of your new name so
                                                                                                               This is so we know who you are, and can
                                                     Kentucky, Louisiana,
that it has the same name in its records that                                                   Austin, TX
                                                                                                               process your form and other papers.
                                                     Mississippi, Tennessee,
you have on your tax return. This prevents                                                     73301-0023
                                                     Texas
delays in processing your return and issuing                                                                      Generally, tax returns and return information
refunds. It also safeguards your future social       Alaska, Arizona, California,                              are confidential, as required by section 6103.
                                                     Colorado, Hawaii, Idaho,
security benefits.                                                                                             However, we may give the information to the
                                                     Illinois, Iowa, Kansas,
                                                                                                               Department of Justice and to other federal
                                                     Minnesota, Montana,
                                                                                                Fresno, CA     agencies, as provided by law. We may give it
Addresses                                            Nebraska, Nevada, New
                                                                                               93888-0023      to cities, states, the District of Columbia, and
                                                     Mexico, North Dakota,
Be sure to include any apartment, room, or                                                                     U.S. commonwealths or possessions to carry
                                                     Oklahoma, Oregon, South
suite number in the space provided.                                                                            out their tax laws. We may also disclose this
                                                     Dakota, Utah, Washington,
                                                     Wisconsin, Wyoming                                        information to other countries under a tax
P.O. Box                                                                                                       treaty, to federal and state agencies to enforce
                                                     Arkansas, Connecticut,
                                                                                                               federal nontax criminal laws, or to federal law
Enter your box number instead of your street         Delaware, Indiana,
                                                                                                               enforcement and intelligence agencies to
                                                                                          Kansas City, MO
                                                     Michigan, Missouri, New
address only if your post office does not
                                                                                              64999-0023       combat terrorism.
                                                     Jersey, New York, Ohio,
deliver mail to your street address.
                                                     Pennsylvania, Rhode Island,
                                                                                                                  The use of this form is voluntary. However, if
                                                     West Virginia
Foreign Address                                                                                                you fail to provide the Internal Revenue
                                                     APO and FPO Addresses                                     Service with your current mailing address, you
Enter the information in the following order:
                                                     American Samoa                                            may not receive a notice of deficiency or a
city, province or state, and country. Follow the
                                                     Guam:
                                                                                                               notice and demand for tax. Despite the failure
country’s practice for entering the postal code.       Nonpermanent residents
                                                                                                               to receive such notices, penalties and interest
Please do not abbreviate the country name.           Puerto Rico (or if excluding
                                                                                                               will continue to accrue on the tax deficiencies.
                                                       income under Internal
                                                                                                Austin, TX
“In Care of” Address                                   Revenue Code                                               You are not required to provide the
                                                                                               73301-0023
                                                       section 933)
                                                                                                               information requested on a form that is subject
If you receive your mail in care of a third party                                                     USA
                                                     Virgin Islands:
                                                                                                               to the Paperwork Reduction Act unless the
(such as an accountant or attorney), enter             Nonpermanent residents
                                                                                                               form displays a valid OMB control number.
“C/O” followed by the third party’s name and         Nonresident aliens and
                                                                                                               Books or records relating to a form or its
street address or P.O. box.                            dual-status aliens
                                                                                                               instructions must be retained as long as their
                                                     Foreign country:
Signature                                                                                                      contents may become material in the
                                                       U.S. citizens and those
                                                       filing Form 2555,                                       administration of any Internal Revenue law.
If you are completing Part I, the taxpayer,            Form 2555-EZ, or Form 4563
                                                                                                                  The time needed to complete and file this
executor, donor, or an authorized                    Guam:                          Department of Revenue
                                                                                                               form will vary depending on individual
representative must sign. If your last return         Permanent residents                     and Taxation
                                                                                                               circumstances. The estimated burden for
was a joint return, your spouse must also sign                                        Government of Guam
                                                                                                               individual taxpayers filing this form is approved
                                                                                           P.O. Box 23607
(unless you have indicated by checking the
                                                                                                               under OMB control number 1545-0074 and is
                                                                                          GMF, GU 96921
box on line 1 that you are establishing a
                                                                                                               included in the estimates shown in the
separate residence).                                                                          V.I. Bureau of
                                                     Virgin Islands:
                                                                                                               instructions for their individual income tax
   If you are completing Part II, an officer,                                              Internal Revenue
                                                       Permanent residents
                                                                                                               return. The estimated burden for all other
                                                                                       9601 Estate Thomas
owner, general partner or LLC member
                                                                                                               taxpayers who file this form is 16 minutes.
                                                                                           Charlotte Amalie
manager, plan administrator, fiduciary, or an
                                                                                      St. Thomas, VI 00802
authorized representative must sign. An officer                                                                   If you have comments concerning the
is the president, vice president, treasurer, chief                                                             accuracy of this time estimate or suggestions
                                                     Filers Who Completed Part II
accounting officer, etc.                                                                                       for making this form simpler, we would be
                                                     IF your old business address        THEN use this         happy to hear from you. You can write to the
             If you are a representative signing     was in . . .                        address . . .         Internal Revenue Service, Tax Products
             on behalf of the taxpayer, you
                                                                                                               Coordinating Committee,
             must attach to Form 8822 a copy         Connecticut, Delaware,
                                                                                                               SE:W:CAR:MP:T:T:SP, 1111 Constitution Ave.
                                                     District of Columbia, Georgia,
             of your power of attorney. To do
 CAUTION this, you can use Form 2848. The                                                                      NW, IR-6526, Washington, DC 20224. Do not
                                                     Illinois, Indiana, Kentucky,
                                                     Maine, Maryland,                                          send the form to this address. Instead, see
Internal Revenue Service will not complete an
                                                                                             Cincinnati, OH
                                                     Massachusetts, Michigan,                                  Where To File on this page.
address change from an “unauthorized” third                                                    45999-0023
                                                     New Hampshire, New Jersey,
party.                                               New York, North Carolina,
                                                     Ohio, Pennsylvania, Rhode
Where To File                                        Island, South Carolina,
                                                     Tennessee, Vermont, Virginia,
Send this form to the Department of the              West Virginia, Wisconsin
Treasury, Internal Revenue Service Center,

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Form 8822-Change of Address

  • 1. 8822 Change of Address Form OMB No. 1545-1163 Please type or print. (Rev. December 2008) Department of the Treasury See instructions on back. Do not attach this form to your return. Internal Revenue Service Part I Complete This Part To Change Your Home Mailing Address Check all boxes this change affects: 1 Individual income tax returns (Forms 1040, 1040A, 1040EZ, 1040NR, etc.) If your last return was a joint return and you are now establishing a residence separate from the spouse with whom you filed that return, check here 2 Gift, estate, or generation-skipping transfer tax returns (Forms 706, 709, etc.) For Forms 706 and 706-NA, enter the decedent’s name and social security number below. Decedent’s name Social security number 3a 3b Your name (first name, initial, and last name) Your social security number 4a 4b Spouse’s name (first name, initial, and last name) Spouse’s social security number 5 Prior name(s). See instructions. Apt. no. 6a Old address (no., street, city or town, state, and ZIP code). If a P.O. box or foreign address, see instructions. Apt. no. 6b Spouse’s old address, if different from line 6a (no., street, city or town, state, and ZIP code). If a P.O. box or foreign address, see instructions. Apt. no. 7 New address (no., street, city or town, state, and ZIP code). If a P.O. box or foreign address, see instructions. Part II Complete This Part To Change Your Business Mailing Address or Business Location Check all boxes this change affects: 8 Employment, excise, income, and other business returns (Forms 720, 940, 940-EZ, 941, 990, 1041, 1065, 1120, etc.) 9 Employee plan returns (Forms 5500, 5500-EZ, etc.) 10 Business location 11a Business name 11b Employer identification number Room or suite no. 12 Old mailing address (no., street, city or town, state, and ZIP code). If a P.O. box or foreign address, see instructions. Room or suite no. 13 New mailing address (no., street, city or town, state, and ZIP code). If a P.O. box or foreign address, see instructions. Room or suite no. 14 New business location (no., street, city or town, state, and ZIP code). If a foreign address, see instructions. Part III Signature ( ) Daytime telephone number of person to contact (optional) Sign Here Your signature Date If Part II completed, signature of owner, officer, or representative Date If joint return, spouse’s signature Date Title 8822 For Privacy Act and Paperwork Reduction Act Notice, see back of form. Cat. No. 12081V Form (Rev. 12-2008)
  • 2. 2 Form 8822 (Rev. 12-2008) Page Alabama, Alaska, Arizona, Purpose of Form and the address shown next that applies to Arkansas, California, Colorado, you. Generally, it takes 4 to 6 weeks to You can use Form 8822 to notify the Internal Florida, Hawaii, Idaho, Iowa, process your change of address. Kansas, Louisiana, Minnesota, Revenue Service if you changed your home or Note. If you checked the box on line 2, or you Mississippi, Missouri, Montana, business mailing address or your business checked the box on both lines 1 and 2, send Nebraska, Nevada, New Mexico, location. If this change also affects the mailing Ogden, UT North Dakota, Oklahoma, this form to: Cincinnati, OH 45999-0023. address for your children who filed income tax 84201-0023 Oregon, South Dakota, Texas, returns, complete and file a separate Form Utah, Washington, Wyoming, Filers Who Completed Part I 8822 for each child. If you are a representative any place outside the (You checked the box on line 1 signing for the taxpayer, attach to Form 8822 a United States copy of your power of attorney. only) Changing both home and business IF your old home mailing THEN use this Privacy Act and Paperwork Reduction Act addresses? If you are, use a separate address was in . . . address . . . Notice. We ask for the information on this Form 8822 to show each change. form to carry out the Internal Revenue laws of District of Columbia, Maine, the United States. Our legal right to ask for Andover, MA Prior Name(s) Maryland, Massachusetts, information is Internal Revenue Code sections 05501-0023 New Hampshire, Vermont 6001 and 6011, which require you to file a If you or your spouse changed your name Alabama, Florida, Georgia, statement with us for any tax for which you are because of marriage, divorce, etc., complete Atlanta, GA North Carolina, South liable. Section 6109 requires that you provide line 5. Also, be sure to notify the Social 39901-0023 Carolina, Virginia your social security number on what you file. Security Administration of your new name so This is so we know who you are, and can Kentucky, Louisiana, that it has the same name in its records that Austin, TX process your form and other papers. Mississippi, Tennessee, you have on your tax return. This prevents 73301-0023 Texas delays in processing your return and issuing Generally, tax returns and return information refunds. It also safeguards your future social Alaska, Arizona, California, are confidential, as required by section 6103. Colorado, Hawaii, Idaho, security benefits. However, we may give the information to the Illinois, Iowa, Kansas, Department of Justice and to other federal Minnesota, Montana, Fresno, CA agencies, as provided by law. We may give it Addresses Nebraska, Nevada, New 93888-0023 to cities, states, the District of Columbia, and Mexico, North Dakota, Be sure to include any apartment, room, or U.S. commonwealths or possessions to carry Oklahoma, Oregon, South suite number in the space provided. out their tax laws. We may also disclose this Dakota, Utah, Washington, Wisconsin, Wyoming information to other countries under a tax P.O. Box treaty, to federal and state agencies to enforce Arkansas, Connecticut, federal nontax criminal laws, or to federal law Enter your box number instead of your street Delaware, Indiana, enforcement and intelligence agencies to Kansas City, MO Michigan, Missouri, New address only if your post office does not 64999-0023 combat terrorism. Jersey, New York, Ohio, deliver mail to your street address. Pennsylvania, Rhode Island, The use of this form is voluntary. However, if West Virginia Foreign Address you fail to provide the Internal Revenue APO and FPO Addresses Service with your current mailing address, you Enter the information in the following order: American Samoa may not receive a notice of deficiency or a city, province or state, and country. Follow the Guam: notice and demand for tax. Despite the failure country’s practice for entering the postal code. Nonpermanent residents to receive such notices, penalties and interest Please do not abbreviate the country name. Puerto Rico (or if excluding will continue to accrue on the tax deficiencies. income under Internal Austin, TX “In Care of” Address Revenue Code You are not required to provide the 73301-0023 section 933) information requested on a form that is subject If you receive your mail in care of a third party USA Virgin Islands: to the Paperwork Reduction Act unless the (such as an accountant or attorney), enter Nonpermanent residents form displays a valid OMB control number. “C/O” followed by the third party’s name and Nonresident aliens and Books or records relating to a form or its street address or P.O. box. dual-status aliens instructions must be retained as long as their Foreign country: Signature contents may become material in the U.S. citizens and those filing Form 2555, administration of any Internal Revenue law. If you are completing Part I, the taxpayer, Form 2555-EZ, or Form 4563 The time needed to complete and file this executor, donor, or an authorized Guam: Department of Revenue form will vary depending on individual representative must sign. If your last return Permanent residents and Taxation circumstances. The estimated burden for was a joint return, your spouse must also sign Government of Guam individual taxpayers filing this form is approved P.O. Box 23607 (unless you have indicated by checking the under OMB control number 1545-0074 and is GMF, GU 96921 box on line 1 that you are establishing a included in the estimates shown in the separate residence). V.I. Bureau of Virgin Islands: instructions for their individual income tax If you are completing Part II, an officer, Internal Revenue Permanent residents return. The estimated burden for all other 9601 Estate Thomas owner, general partner or LLC member taxpayers who file this form is 16 minutes. Charlotte Amalie manager, plan administrator, fiduciary, or an St. Thomas, VI 00802 authorized representative must sign. An officer If you have comments concerning the is the president, vice president, treasurer, chief accuracy of this time estimate or suggestions Filers Who Completed Part II accounting officer, etc. for making this form simpler, we would be IF your old business address THEN use this happy to hear from you. You can write to the If you are a representative signing was in . . . address . . . Internal Revenue Service, Tax Products on behalf of the taxpayer, you Coordinating Committee, must attach to Form 8822 a copy Connecticut, Delaware, SE:W:CAR:MP:T:T:SP, 1111 Constitution Ave. District of Columbia, Georgia, of your power of attorney. To do CAUTION this, you can use Form 2848. The NW, IR-6526, Washington, DC 20224. Do not Illinois, Indiana, Kentucky, Maine, Maryland, send the form to this address. Instead, see Internal Revenue Service will not complete an Cincinnati, OH Massachusetts, Michigan, Where To File on this page. address change from an “unauthorized” third 45999-0023 New Hampshire, New Jersey, party. New York, North Carolina, Ohio, Pennsylvania, Rhode Where To File Island, South Carolina, Tennessee, Vermont, Virginia, Send this form to the Department of the West Virginia, Wisconsin Treasury, Internal Revenue Service Center,