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Change of Address Form


Change of Address Form
Change of Address Form
Form 8822
(Rev. January 2012)
Department of the Treasury
Internal Revenue Service
Change of Address
(For Individual, Gift, Estate, or Generation-Skipping Transfer Tax Returns)
Please type or print.
See instructions on back.
Do not attach this form to your return.
OMB No. 1545-1163
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
Your name (first name, initial, and last name)
3b
Your social security number
4a
Spouse’s name (first name, initial, and last name)
4b
Spouse’s social security number
5a
Your prior name(s). See instructions.
5b
Spouse's prior name(s). See instructions.
6a
Your old address (no., street, apt. no., city or town, state, and ZIP code). If a P.O. box, see instructions. If foreign address, also complete spaces below,
see instructions.
Foreign country name Foreign province/county Foreign postal code
6b
Spouse’s old address, if different from line 6a (no., street, apt. no., city or town, state, and ZIP code). If a P.O. box, see instructions. If foreign address, also
complete spaces below, see instructions.
Foreign country name
Foreign province/county Foreign postal code
7
New address (no., street, apt. no., city or town, state, and ZIP code). If a P.O. box, see instructions. If foreign address, also complete spaces below, see
instructions.
Foreign country name Foreign province/county Foreign postal code
Part II Signature
Daytime telephone number of person to contact (optional)
Sign
Here
Your signature Date
Signature of representative, executor, administrator/if applicable
Date
If joint return, spouse’s signature Date
Title
For Privacy Act and Paperwork Reduction Act Notice, see back of form.
Cat. No. 12081V
Form 8822 (Rev. 1-2012)
Change of Address Form
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