R - 6505 (01 06) Individual Income Tax Name and Address Change Form Check all the boxes that this ch-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the effective date of change at the top of the form. This is crucial for processing your request accurately.
3. Check all applicable boxes that indicate what changes you are making, such as address change or name change.
4. Fill in your name, Social Security Number, and if applicable, your spouse’s information in the designated fields.
5. Provide your new address details including street, apartment/suite number, city/state, and zip code. Ensure accuracy to avoid any issues with correspondence.
6. If necessary, complete the old address section with your previous residence information.
7. Include a contact person and daytime telephone number for any follow-up inquiries.
8. Sign and date the form at the bottom. If applicable, have your spouse sign as well.
9. Finally, submit the completed form by mailing or faxing it to the Louisiana Department of Revenue using the provided contact details.

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