Fillable Printable Change of Address Form for Social Security
Fillable Printable Change of Address Form for Social Security
Change of Address Form for Social Security
Your Signature Date Spouse’s Signature (if joint return) Date
If Part II completed: Signature of Owner, Offi cer, or Representative Date Title
Daytime Telephone Number (optional)
( )
Form CT-8822
Change of Address
Complete in blue or black ink only. This form can be fi led electonically; see instructions on reverse. Do not attach this form to your return.
Department of Revenue Services
State of Connecticut
PO Box 2937
Hartford CT 06104-2937
(Rev. 3/08)
3a. Your First Name, Middle Initial, and Last Name 3b. Your Social Security Number
4a. Spouse’s First Name, Middle Initial, and Last Name 4b. Spouse’s Social Security Number
5. Prior Name(s): See instructions.
6a. Your Old Address (No., Street, City or Town, State, and ZIP Code). If a PO 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 PO Box or foreign address, see instructions. Apt. No.
7. New Address (No., Street, City or Town, State, and ZIP Code). If a PO Box or foreign address, see instructions. Apt. No.
8. Effective Date of Address Change 9. Reason for Address Change
Check all boxes this change affects:
1. Connecticut individual income tax returns (Forms CT-1040, CT-1040EZ, and CT-1040NR/PY)
If your last return was a joint return and you are now establishing a residence separate
from the spouse with whom you fi led that return, check here. . ............................................................................
2. Connecticut estate and gift tax return (Form CT-706/709)
Part I Complete This Part to Change Individual Income Tax, Estate Tax, and Gift Tax Address Information
Part II Complete This Part to Change Business Mailing Address or Business Location
Check all boxes this change affects:
10. Other income tax returns (Form CT-1041, Form CT-1065/CT-1120SI, etc.)
11.
Business returns (Form OP-424, Form OS-114, etc.)
12.
Business location
13a. Business Name 13b. Connecticut Tax Registration Number 13c. Federal Employer ID Number
14. Old Mailing Address (No., Street, City or Town, State, and ZIP Code). If a PO Box or foreign address, see instructions. Room or Suite No.
15. Old Business Location (No., Street, City or Town, State, and ZIP Code). If a PO Box or foreign address, see instructions. Room or Suite No.
16. New Mailing Address (No., Street, City or Town, State, and ZIP Code). If a PO Box or foreign address, see instructions. Room or Suite No.
17. New Business Location (No., Street, City or Town, State, and ZIP Code). If a PO Box or foreign address, see instructions. Room or Suite No.
18. Effective Date of Address Change 19. Reason for Address Change
Please
Sign
Here
Part III Signature
Form CT-8822 Instructions
Form CT-8822 Back (Rev. 3/08)
File Electronically Through the Taxpayer Service
Center (TSC)
The TSC is a self-service interactive tool that can be accessed
through the Connecticut Department of Revenue Services
(DRS) website for a free, fast, easy, and secure way to
conduct business with DRS. Taxpayers can access the TSC
to fi le tax returns, pay Connecticut tax responsibilites, and
update account information, such as a change of address,
electronically. If you fi le electronically, you do not have to
mail in a paper Form CT-8822. Visit the DRS website at
www.ct.gov/DRS, click on the TSC logo, and follow the
instructions.
File by Paper
Use Form CT-8822 to notify DRS you changed your home
or business mailing address, or the physical location of your
business.
If this change affects the mailing address of your children
who fi led Connecticut income tax returns, complete and fi le
a separate Form CT-8822 for each child.
If you received a Connecticut tax return with an incorrect
address on the preprinted mailing label, and a return has not
yet been fi led, note the new address on the return. There is
no need to fi le this form. If a return is not due at this time or
a return with the corrected address information was not fi led,
use this form to notify DRS of the new address.
If the change of address occurred after the return was fi led
and a refund is expected, also notify the post offi ce serving
the old address. This will help forward the refund to the
proper address.
Prior Name(s)
If you or your spouse changed your name due to marriage,
divorce, etc., complete Line 5.
PO Box
If the post offi ce does not deliver mail to your street address,
write the PO box number instead of the street address.
Apartment Number or Suite
Be sure to include any apartment, room, or suite number in
the space provided.
Foreign Address
If the address is outside the United States or its possessions
or territories, enter the information in the following order:
Number, Street, City, Province or State, Postal Code, and
Country. Do not abbreviate the country name.
Signature
If you are completing Part I, you must sign this form and in
the case of a joint return, both you and your spouse must
sign this form. In the case of gift tax, the donor must sign
this form.
Part III requires the owner, an offi cer, or a representative
of the business entity to sign this form. An offi cer is the
president, vice president, treasurer, chief accounting offi cer,
etc. A representative is a person who has a valid Power of
Attorney to handle tax matters. If you are a representative
signing for the taxpayer, attach a copy of your Power of
Attorney to Form CT -8822. In the case of trusts and estates,
the fi duciary or an offi cer representing the fi duciary must
sign this form.
Where to File
Mail to: Department of Revenue Services
State of Connecticut
Registration Unit
PO Box 2937
Hartford CT 06104-2937
