This form contains 25 fields organized into 6 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Additional Information
topmostSubform[0].Page1[0].f1_13[0 Text
Enter the relevant information for this field as per the form instructions.
topmostSubform[0].Page1[0].f1_17[0 Text
Enter the relevant information for this field as per the form instructions.
Address Change Type
topmostSubform[0].Page1[0].c1_1[0]_1 CheckBox
Check this box if you are changing your home mailing address for individual income tax returns.
topmostSubform[0].Page1[0].c1_2[0]_1 CheckBox
Check this box if you are changing your home mailing address for gift tax returns.
topmostSubform[0].Page1[0].c1_3[0]_1 CheckBox
Check this box if you are changing your home mailing address for estate or generation-skipping transfer tax returns.
Address Information
6a Your old address (no., street, apt. no., city or town, state, and ZIP code). If a P.O. box, see instructions. If foreign address, also complete spaces below, see instructions Text
Enter your old address including street number, street name, apartment number, city or town, state, and ZIP code. If you are using a P.O. box or a foreign address, refer to the instructions.
Foreign country name Text
Enter the name of the foreign country if your old address is outside the United States.
Foreign province/county Text
Enter the name of the foreign province or county if your old address is outside the United States.
Contact Information
Daytime telephone number of person to contact (optional) Text
Enter a daytime telephone number where you can be contacted. This is optional.
New Address Information
Foreign postal code Text
Enter the postal code of your new foreign address.
Foreign country name Text
Enter the name of the foreign country for your new address.
Foreign province/county Text
Enter the province or county of your new foreign address.
Foreign postal code Text
Enter the postal code of your new foreign address.
Foreign country name Text
Enter the name of the foreign country for your new address.
Foreign province/county Text
Enter the province or county of your new foreign address.
Foreign postal code Text
Enter the postal code of your new foreign address.
Personal Information
topmostSubform[0].Page1[0].f1_1[0 Text
Enter your full name including first name, middle initial, and last name.
topmostSubform[0].Page1[0].f1_2[0 Text
Enter your Social Security Number (SSN).
Max length: 11 characters
3a Your name (first name, initial, and last name) Text
Enter your full name including first name, middle initial, and last name.
3b Text
Enter your Social Security Number (SSN).
Max length: 11 characters
4a Spouse's name (first name, initial, and last name) Text
Enter your spouse's full name including first name, middle initial, and last name.
4b Text
Enter your spouse's Social Security Number (SSN).
Max length: 11 characters
5a Your prior name(s). See instructions Text
Enter any prior names you have used. Refer to the instructions for more details.
topmostSubform[0].Page1[0].f1_8[0 Text
Enter any prior names you have used. Refer to the instructions for more details.
Title Text
Enter your title (e.g., Mr., Mrs., Dr., etc.).