Tab through the form and fill out the appropriate fields or click in the  Save                  Print          Clear
area you need to fill.
Taxpayer Information Change Request

Form P‑706 may be used to change your Social Security number, name, address, e‑mail address, or consent to receive 
e‑mail notices.  If you have any questions please call (608) 266‑2772.  Please complete the form as indicated in each section. 
Forms submitted without a social security number will not be processed.

Section 1 – Old Information – Complete ALL Items
 Name                                                                     Social Security Number

 Name (spouse)                                                            Social Security Number

 Address                                                                  E‑Mail Address

 City                                          State Zip

Section 2 – New Information – Enter CHANGES ONLY
 Name                                                                     Social Security Number

 Name (spouse)                                                            Social Security Number

 Address                                                                  E‑Mail Address

 City                                          State Zip

 Mark those that apply.
      Name Change                                                        Click on the box you want to select or hit enter after 
                                                                         tabbing to the box you want to select.
      Separated/Divorced
      Social Security Number Correction
      Other
      E‑mail address correction
      I agree to receive notices from the Wisconsin Department of Revenue through the e‑mail address provided
      I revoke my agreement to receive notices from the Wisconsin Department of Revenue through the e‑mail address provided
      Permanent Address Change (effective date          )

 Your Signature                                                                Date

 If Joint Return, Spouse’s Signature                                           Date

 Daytime Telephone Number of Contact Person

Note:  If you are changing information for any person other than yourself, a Power of Attorney form must be 
         provided for the changes to take place.

Please mail the completed form to:         Taxpayer Information Changes
                                           Wisconsin Department of Revenue
                                           PO Box 8949
                                           Madison WI  53708‑8949

P‑706 (R. 11‑09)                                                                                Wisconsin Department of Revenue