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Form
8822 Change of
Address
(Rev. May 1995) OMB NO. 1545-1163 Department of the Treasury Please type or print. Internal Revenue Service See instructions on back. Do not attach this form to your return. Part I Complete This Part To Change Your Home Mailing Address Check ALL boxes this change affects: 1 X 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 Employment tax returns for household employers (Forms 940, 940-EZ, 942, etc.) Enter your employer identification number here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 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 4a Your name (first name, initial, and last name) 4b Your social security number Buyer(s) 888 88 8888 5a Spouse's name (first name, initial, and last name) 5b Spouse's social security number Buyer(s) ss# 6 Prior name(s). See instructions. 7a Old address (no., street, city or town, state, and ZIP code). If a P. O. box or foreign address, see instructions. Apt. no. 123 Yourstreet Yourtown MI 48430 7b Spouse's old address, if different from line 7a (no., street, city or town, state, and ZIP code). If a P. O. box or foreign address, see instructions. Apt. no. 8 New address (no., street, city or town, state, and ZIP code). If a P. O. box or foreign address, see instructions. Apt. no. 123 Yourstreet ,Yourtown MI 48430 123 Yourstreet ,Yourtown MI 48430 Part II Complete This Part To Change Your Business Mailing Address or Business Location Check ALL boxes this change affects: 9 Employment, excise, and other business returns (Forms 720, 941, 990, 1041, 1065, 1120, etc.) 10 Employee plan returns (Forms 5500, 5500-C/R, and 5500-EZ). See instructions. 11 Business location 12a Business name 12b Employer identification number 13 Old 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 address (no., street, city or town, state, and ZIP code). If a P. O. box or foreign address, see instructions. Room or suite no. 15 New business location (no., street, city or town, state, and ZIP code). If a foreign address, see instructions. Room or suite no. Part III Signature Daytime telephone number of person to contact (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 248 682 0062hm Please Sign Your signature Date If Part II completed, signature of owner, officer, or representative Date Here If joint return, spouse's signature Date Title For Privacy Act and Paperwork Reduction Act Notice, see back of form. (D323) Form 8822 (Rev. 5-95) Send this form to the Internal Revenue Service Center shown below for your old address. If your old address was in: Use this address: FL, GA, SC Atlanta, GA 39901 NJ, NY (NY City and counties of Nassau, Holtsville, NY 00501 Rockland, Suffolk, and Westchester) NY (all other counties), Andover, MA 05501 CT, ME, MA, NH, RI, VT AK, AZ, CA (northern), CO, ID, MT, NE, NV, Ogden, UT 84201 ND, OR, SD, UT, WA, WY CA, HI Fresno, CA 93888 IN, KY, MI, OH, WV Cincinnati, OH 45999 KS, NM, OK, TX Austin, TX 73301 DE, DC, MD, PA, Philadelphia, PA 19255 VA AL, AR, LA, MS, Memphis, TN 37501 NC, TN IL, IA, MN, MO, Kansas City, MO 64999 WI 8822 FormName Form 8822 - Change of Address FormDescr 9999 FormSeqNum LotusMacros \i {ESC}{BEEP}{INDICATE "**INPUT MODE** Right arrow key moves to next cell. ESC key quits Input Mode."}{GET CellFR}{INDICATE "*INPUT MODE*"}/riPrint_Area~{INDICATE} Input data \e +"{ESC}{INDICATE}{CALC}"&@IF(@VALUE(@RIGHT(B123,1))>3,"{FILE-UNSEAL """"}"&@IF(@CELLPOINTER("protect"),"/ru~","/rp~")&"{FILE-SEAL """"}",@IF(@CELLPOINTER("protect"),"/ru~","/rp~")) Edit cell \p {ESC}{INDICATE}{GOTO}a1~:PRSPrint_Area~G Print form \r {ESC}{PANELOFF}{FRAMEOFF}{INDICATE "Saving form and retrieving..."}/FS~R/FR{NAME}{INDICATE} Retreive form \s {ESC}{PANELOFF}{FRAMEOFF}{INDICATE "Saving form..."}/FS~R{INDICATE}{BEEP} Saving form \0 {INDICATE "***UPDATING LINKS AND RECALCULATING***"}/FAL{CALC}{PANELOFF}:dofnqq:dognqq/WGRA/WGDOCFQ Auto Macro +"/FD"&B122&"~{INDICATE}{BEEP}{BEEP 4}" {READLN CellFR}{BRANCH Stop} {IF @LEFT(CellFR,7)="LASTREC"}{RECALC LastForm}{BRANCH LastForm} {} CellFR ~ Stop {CLOSE} LastForm @RIGHT(B112,@MAX(@LENGTH(B112)-7,0)) {CLOSE} DefaultDir @LEFT(@CELL("filename",A122),@LENGTH(@CELL("filename",A122))-@LENGTH(B123)-1) WkstName @IF(@ISERR(@FIND("\",@RIGHT(@CELL("filename",A122),12),0)),@RIGHT(@CELL("filename",A122),12),@RIGHT(@CELL("filename",A122),12-(@FIND("\",@RIGHT(@CELL("filename",A122),12),0)+1))) Employee Plan Returns ONLY (FORM 5500 SERIES) If the principal office of the plan sponsor or the plan administrator was located in: Use this address: CT, DE, DC, ME, MD, MA, NH, NJ, NY, PA, RI, VT, VA Holtsville, NY 00501 Foreign Address: Puerto Rico AL, AK, AR, CA, FL, GA, HI, ID, LA, MS, NV, NC, OR, SC, Atlanta, GA 39901 TN, WA AZ, CO, IL, IN, IA, KS, KY, MI, MN, MO, MT, NE, NM, Memphis, TN 37501 ND, OH, OK, SD, TX, UT, WV, WI, WY Foreign country Holtsville, NY 00501 All Form 5500-EZ filers Andover, MA 05501 |