Change of Address Form for Individuals
Personal Information
Full Name:
Last
First
M.I.
SSN or ITIN:
Spouse’s
Name:
Last
First
M.I.
SSN or ITIN:
Daytime Phone Number________________________ Email Address ________________________________________________
Your Old Address
Address:
Street Address
Apartment/Unit #
City
State
ZIP Code
Your New Address
Address:
Street Address
Apartment/Unit #
City
State
ZIP Code
Sign Here
Your Signature
Date.
Your Spouse’s Signature
Date.
Mail the Completed Form to:
New Jersey Division of Taxation ADD
PO Box 440
Trenton NJ 08646 0440
This Form is not for Business Address Changes