Fillable Form 800518: o Individual NAME OR ADDRESS CHANGE (Kansas Department of Revenue)

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Form 800518: o Individual NAME OR ADDRESS CHANGE (Kansas Department of Revenue)

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Country of origin: US
File type: PDF

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KANSAS DEPARTMENT OF REVENUE
Division of Taxation
___________________________________________________________________ ______________________
o __________________________________________________________________
o
_________________________________
NAME OR ADDRESS CHANGE FORM
Individual
Current Name: Current SSN:
I am changing my name. (Name return was led under)
I am changing my address
Social Security Number Contact me by Home Phone Number Old Email Address
Spouse Social Security Number Contact me by Cell Phone Number Current Email Address
New Name (Include spouse’s full name if led jointly)
New Address (street, city, state and zip code)
Signature Date
Business
Current Business Name: Current EIN/SSN:
I am changing my business name. New Name:
I am changing my address: Business Mailing Address Business Location Address
I am correcting my EIN: New EIN Old EIN
This change will aect the following tax accounts:
Retailers’ Sales Tax
Withholding Tax
Consumers’ Compensating Use Tax
Retailers’ Compensating Use Tax
Corporate Income Tax
Dry Cleaning Surcharge
Liquor Drink Tax
Liquor Enforcement Tax
Nonresident Contractor
Privilege Tax
:
Retail Cigarette License
Tire Excise Tax
Transient Guest Tax
Vehicle Rental Excise Tax
Water Protection/Clean Drinking Water Fee
Charitable Gaming
Mailing Address
New Mailing Address (street, county, city, state and zip code)
Contact me by Home Phone Number Old Email Address
Contact me by Cell Phone Number Current Email Address
Location Address: Eective Date (mm/dd/yyyy):
Old Location Address (street, county, city, state and zip code)
Outside City Limits Inside City Limits
Outside City Limits Inside City Limits
New Location Address (street, county, city, state and zip code)
Old Email AddressContact me by Home Phone Number
Current Email AddressContact me by Cell Phone Number
(Signature) (Printed Name) (Date)
Mail to: KDOR - Taxpayer Assistance Center, PO Box 3506, Topeka KS 66625-3506 or fax to 785-296-2073. If you have questions about
the completion of this form, call 785-368-8222.
DO-5 (Rev. 9-19)
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800518
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Form 800518: o Individual NAME OR ADDRESS CHANGE (Kansas Department of Revenue)

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Completed 24 August 2020

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