Change of Address
Form
8822
OMB No. 1545-1163
(Rev. December 2008)
© Please type or print.
Department of the Treasury
Internal Revenue Service
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
©
Gift, estate, or generation-skipping transfer tax returns (Forms 706, 709, etc.)
2
Your social security number
3a
3b
Your name (first name, initial, and last name)
Spouse’s social security number
4a
4b
Spouse’s name (first name, initial, and last name)
5
Prior name(s). See instructions.
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.
6b
6a
Old address (no., street, city or town, state, and ZIP code). If a P.O. box or foreign address, see instructions.
7
New address (no., street, city or town, state, and ZIP code). If a P.O. box or foreign address, see instructions.
Sign
Here
Title
Date
If joint return, spouse’s signature
Form 8822 (Rev. 12-2008)
Cat. No. 12081V
© See instructions on back.
© Do not attach this form to your return.
Complete This Part To Change Your Home Mailing Address
Apt. no.
Apt. no.
Complete This Part To Change Your Business Mailing Address or Business Location
Date
If Part II completed, signature of owner, officer, or representative
Date
Your signature
(
)
Daytime telephone number of person to contact (optional) ©
Signature
13
New mailing address (no., street, city or town, state, and ZIP code). If a P.O. box or foreign address, see instructions.
12
Old mailing address (no., street, city or town, state, and ZIP code). If a P.O. box or foreign address, see instructions.
Employer identification number
11a
11b
Business name
Check all boxes this change affects:
8
9
10
Employment, excis