Maryland Change of Address Form for Individuals

Change of Address Form for Individuals
Form 109-I Change of Address for Individuals
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FORM

109-I

MARYLAND CHANGE OF ADDRESS
FOR INDIVIDUALS

First Name

Initial

Last Name

SSN

Spouse’s First Name

Initial

Last Name

Spouse’s SSN

OLD ADDRESS

Mailing Address - Line 1

Mailing Address - Line 2 (PO Box, Apt No., Suite No.)

City or Town

Telephone number

State

ZIP Code + 4

State

ZIP Code + 4

Email address

NEW ADDRESS

Current Mailing Address - Line 1

Current Mailing Address - Line 2 (PO Box, Apt No., Suite No.)

City or Town

Telephone number

Email address

Please update my address information per the information above. I certify that the foregoing information is true, correct and
accurate to the best of my knowledge.

__________________________________
Print name

■ COM/RAD 109-I	

Rev. 01/20

___________________________________
Signature

___________________________
Date

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FORM

109-I

MARYLAND CHANGE OF ADDRESS
FOR INDIVIDUALS

General Information

For more information

You can use Form 109-I to notify the Comptroller of Maryland
that you have changed your home mailing address. If
you have changed both your home and business mailing
addresses, please submit Form 109-I along with Form 109-B.

Visit www.marylandtaxes.gov or call Taxpayer Service at
410-260-7980 in Central Maryland or 1-800-638-2937 from
elsewhere. For the hearing impaired: Maryland Relay Service
711.

Filling out Form 109-I
• Please print using blue or black ink.
•	 Enter	OLD	address	information	in	the	first	section;	enter	
NEW address in the second section.
• Be sure to include any apartment, room, or suite number
information using the common designators as shown
below.

Mail to:
COMPTROLLER OF MARYLAND
REVENUE ADMINISTRATION DIVISION
TAXPAYER IDENTIFICATION
110 CARROLL STREET
ANNAPOLIS MD 21411-0001

Common Designators
The most common unit designators are:
Apartment

APT

Building

BLDG

Floor

FL

Suite

STE

Unit

UNIT

Room

RM

Department

DEPT

•	 Only	enter	P.O.	Box	information	if	your	post	office	does	
not deliver mail to your street address.
• Do not use “#” signs or other special characters, except
the	dash	in	the	“ZIP	code”	field	when	a	9-digit	+	4	ZIP	is	
used.
• Please remember to sign and date the form prior to
submission.

■ COM/RAD 109-I	

Rev. 01/20

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