INSTRUCTIONS: ARKANSAS INDIVIDUAL INCOME TAX ACCOUNT CHANGE FORM

To change your individual name, address, business address or business location as registered with the Arkansas Department of Finance and Administration, complete the form discussed in this document. This form can be obtained from the website maintained by the Arkansas Department of Finance and Administration.

Arkansas Individual Income Tax Account Change Form Step 1: Section 1 is to be completed if you are changing your individual name or address. Indicate with a check mark if you are documenting a name change, an address change, a lost or stolen check, or a remail check.

Arkansas Individual Income Tax Account Change Form Step 2: In box 1a, enter your first name, middle initial and last name.

Arkansas Individual Income Tax Account Change Form Step 3: In box 1b, enter your Social Security number.

Arkansas Individual Income Tax Account Change Form Step 4: In box 2a, if filing jointly, enter your spouse's first name, middle initial and last name.

Arkansas Individual Income Tax Account Change Form Step 5: In box 2b, if filing jointly, enter your spouse's Social Security number.

Arkansas Individual Income Tax Account Change Form Step 6: In box 3a, enter your prior name, if any.

Arkansas Individual Income Tax Account Change Form Step 7: In box 3b, enter your spouse's prior name, if any and filing jointly.

Arkansas Individual Income Tax Account Change Form Step 8: In box 4a, enter your old mailing address, city, state and zip code.

Arkansas Individual Income Tax Account Change Form Step 9: In box 4b, enter your new mailing address, city, state and zip code.

Arkansas Individual Income Tax Account Change Form Step 10: Section II concerns changes to your business name or location. Indicate with a check mark whether your business is a partnership or a fiduciary.

Arkansas Individual Income Tax Account Change Form Step 11: Enter the business, estate or trust name in box 5a and its federal identification number in box 5b.

Arkansas Individual Income Tax Account Change Form Step 12: Enter your old mailing address, city, state and zip code in box 6a and your new mailing address, city, state and zip code in box 6b. If you have a new business location that is different from your mailing address, enter it in box 7.

Arkansas Individual Income Tax Account Change Form Step 13: Sign and date Part III.