Change of Address or Responsible Party — Business Form 8822-B ▶ Please type or print. OMB No. 1545-1163 (Rev. December 2019) ▶ See instructions on back. ▶ Do not attach this form to your return. Department of the Treasury ▶ Go to www.irs.gov/Form8822B for the latest information. Internal Revenue Service Before you begin: If you are also changing your home address, use Form 8822 to report that change. If you are a tax-exempt organization (see instructions), check here Check all boxes this change affects. 1 Employment, excise, income, and other business returns (Forms 720, 940, 941, 990, 1041, 1065, 1120, etc.) 2 Employee plan returns (Forms 5500, 5500-EZ, etc.) 3 Business location 4a Business name 4b Employer identification number 5 Old mailing address (no., street, room or suite no., city or town, state, and ZIP code). If a P.O. box, see instructions. If foreign address, also complete spaces below, see instructions. Foreign country name Foreign province/county Foreign postal code 6 New mailing address (no., street, room or suite no., city or town, state, and ZIP code). If a P.O. box, see instructions. If foreign address, also complete spaces below, see instructions. Foreign country name Foreign province/county Foreign postal code 7 New business location (no., street, room or suite no., city or town, state, and ZIP code). If a foreign address, also complete spaces below, see instructions. Foreign country name Foreign province/county Foreign postal code 8 New responsible party’s name 9 New responsible party’s SSN, ITIN, or EIN. (CAUTION: YOU MUST REFER TO THE INSTRUCTIONS FOR FORM SS-4 TO SEE WHO MAY USE AN EIN.) 10 Signature. Under penalties of perjury, I declare that I have examined this application, and to the best of my knowledge and belief, it is true, correct, and complete. Daytime telephone number of person to contact (optional) ▶ ▲▲ Sign Signature of owner, officer, or representative Date Here Title Where To File Send this form to the address shown here that applies to you. IF your old business address was in . . . THEN use this address . . . Connecticut, Delaware, District of Columbia, Georgia, Illinois, Indiana, Kentucky, Maine, Maryland, Massachusetts, Michigan, Internal Revenue Service New Hampshire, New Jersey, New York, North Carolina, Ohio, Kansas City, MO 64999 Pennsylvania, Rhode Island, South Carolina, Tennessee, Vermont, Virginia, West Virginia, Wisconsin Alabama, Alaska, Arizona, Arkansas, California, Colorado, Florida, Hawaii, Idaho, Iowa, Kansas, Louisiana, Minnesota, Mississippi, Internal Revenue Service Missouri, Montana, Nebraska, Nevada, New Mexico, North Dakota, Ogden, UT 84201-0023 Oklahoma, Oregon, South Dakota, Texas, Utah, Washington, Wyoming, any place outside the United States For Privacy Act and Paperwork Reduction Act Notice, see back of form. Cat. No. 57465H Form 8822-B (Rev. 12-2019) |
Form 8822-B (Rev. 12-2019) Page 2 Future Developments Responsible Party states, the District of Columbia, and U.S. commonwealths or possessions to carry Information about any future Any entity with an EIN is required to out their tax laws. We may also disclose developments affecting Form 8822-B report a change in its “responsible party” this information to other countries under (such as legislation enacted after we on lines 8 and 9 within 60 days of the a tax treaty, to federal and state release it) will be posted at www.irs.gov/ change. See Regulations section agencies to enforce federal nontax Form8822B. 301.6109-1(d)(2)(ii). See Form SS-4, criminal laws, or to federal law Application for Employer Identification enforcement and intelligence agencies to Purpose of Form Number, and its instructions, for combat terrorism. Use Form 8822-B to notify the Internal guidance about who can be a Revenue Service if you changed your “responsible party” for line 8 and which If you are an entity with an EIN and business mailing address, your business identification number to enter for line 9. your responsible party has changed, use of this form is mandatory. Otherwise, use location, or the identity of your of this form is voluntary. You will not be responsible party. Also, any entities that Signature subject to penalties for failure to file this change their address or identity of their An officer, owner, general partner or LLC form. However, if you fail to provide the responsible party must file Form 8822-B, member manager, plan administrator, IRS with your current mailing address or whether or not they are engaged in a fiduciary, or an authorized representative the identity of your responsible party, trade or business. If you are a must sign. An officer is the president, you may not receive a notice of representative signing for the taxpayer, vice president, treasurer, chief deficiency or a notice of demand for tax. attach to Form 8822-B a copy of your accounting officer, etc. Despite the failure to receive such power of attorney. Generally, it takes 4 If you are a representative notices, penalties and interest will to 6 weeks to process your address or signing on behalf of the continue to accrue on any tax responsible party change. ! taxpayer, you must attach to deficiencies. ▲ Changing both home and business CAUTION Form 8822-B a copy of your You are not required to provide the addresses? Use Form 8822 to change power of attorney. To do this, you can information requested on a form that is your home address. use Form 2848. The Internal Revenue subject to the Paperwork Reduction Act Service will not complete an address or unless the form displays a valid OMB Tax-Exempt Organizations responsible party change from an control number. Books or records Check the box if you are a tax-exempt “unauthorized” third party. relating to a form or its instructions must organization. See Pub. 557, Tax-Exempt be retained as long as their contents Status for Your Organization, for details. Privacy Act and Paperwork Reduction may become material in the Act Notice. We ask for the information administration of any Internal Revenue Addresses on this form to carry out the Internal law. Be sure to include any apartment, room, Revenue laws of the United States. Our or suite number in the space provided. legal right to ask forinformation is The time needed to complete and file Internal Revenue Code sections6001 this form will vary depending on P.O. Box and 6011, which require you to file a individual circumstances. The estimated Enter your box number instead of your statement with us for any tax for which average time is 18 minutes. street address only if your post office you are liable. Section 6109 requires that Comments. You can send us comments does not deliver mail to your street you provide your identifying number on from www.irs.gov/FormComments. Or address. what you file. This is so we know who you can write to the Internal Revenue you are, and can process your form and Service, Tax Forms and Publications Foreign Address other papers. Division, 1111 Constitution Ave. NW, Follow the country’s practice for entering Generally, tax returns and return IR-6526, Washington, DC 20224. Don’t the postal code. Please do not information are confidential, as required send the form to this office. abbreviate the country name. by section 6103. However, we may give the information to the Department of “In Care of” Address Justice and to other federal agencies, as If you receive your mail in care of a third provided by law. We may give it to cities, party (such as an accountant or attorney), enter “C/O” followed by the third party’s name and street address or P.O. box. |