Kansas Name or Address Change Form

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Name or Address Change Form
DO-5 Name or Address Change Form Rev. 10-20800518

KANSAS DEPARTMENT OF REVENUE

NAME OR ADDRESS CHANGE FORM

Individual

Current Name: _____________________________________________________________________________________________________________

o
o

Current SSN: ____________________________________

I am changing my name. New Name: ____________________________________________________________________________________________________________________________________
I am changing my address

_____________________________________________________

Social Security Number

_____________________________________________________

Spouse Social Security Number

______________________________________________

_____________________________________________________________________________________

______________________________________________

_____________________________________________________________________________________

Contact me by Home Phone Number
Contact me by Cell Phone Number

Old Email Address

Current Email Address

________________________________________________________________________________________________________________________________________________________________________________________________

New Name (Include spouse’s full name if filed jointly)

________________________________________________________________________________________________________________________________________________________________________________________________

New Address (street, city, state and zip code)

____________________________________________________________________________________________________________________________________________________

Signature

_______________________________________

Date

Business
Current Business Name: ________________________________________________________________________________________

o I am changing my business name. New Business Name:
o I am changing my DBA name. New DBA Name:
o I am changing my address:
o Business Mailing Address
o I am correcting my EIN:
o New EIN

Current EIN/SSN: _____________________________________

_________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________

________________________________

o
o

This change will affect the following tax accounts:

o Retailers’ Sales Tax
o Withholding Tax
o Consumers’ Compensating Use Tax
o Retailers’ Compensating Use Tax
o Cigarette Vending Machine Permit
o Corporate Income Tax

o
o
o
o
o
o

Business Location Address
Old EIN __________________________________

o Tire Excise Tax
o Transient Guest Tax
o Vehicle Rental Excise Tax
o Water Protection/Clean Drinking Water Fee
o Charitable Gaming

Dry Cleaning Surcharge
Liquor Drink Tax
Liquor Enforcement Tax
Nonresident Contractor
Privilege Tax
Retail Cigarette License

Mailing Address:
________________________________________________________________________________________________________________________________________________________________________________________________

New Mailing Address (street, county, city, state and zip code)
________________________________________________

___________________________________________________________________________________________________________________________________________

________________________________________________

____________________________________________________________________________________________________________________________________________

Contact me by Home Phone Number
Contact me by Cell Phone Number

Old Email Address

Current Email Address

Location Address: Effective Date (mm/dd/yyyy): ____________________________________________
______________________________________________________________________________________________________________________________

o Outside City Limits o Inside City Limits

______________________________________________________________________________________________________________________________

o Outside City Limits o Inside City Limits

Old Location Address (street, county, city, state and zip code)

New Location Address (street, county, city, state and zip code)
________________________________________________

_________________________________________________________________________________________________________________________________________

________________________________________________

________________________________________________________________________________________________________________________________________

Contact me by Home Phone Number
Contact me by Cell Phone Number

Old Email Address

___________________________________________________________________________________

(Signature)

Current Email Address

_____________________________________________________________________________

(Printed Name)

__________________________

(Date)

Mail to: KDOR - Taxpayer Assistance Center, PO Box 3506, Topeka KS 66625-3506 or fax to 785-296-2073. If you have questions about
the completion of this form, call 785-368-8222.
DO-5 (Rev. 10-20)

Extracted from PDF file 2023-kansas-form-do-5.pdf, last modified October 2020

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More about the Kansas Form DO-5 Individual Income Tax TY 2023

We last updated the Name or Address Change Form in February 2024, so this is the latest version of Form DO-5, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form DO-5 directly from TaxFormFinder. You can print other Kansas tax forms here.

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Other Kansas Individual Income Tax Forms:

TaxFormFinder has an additional 73 Kansas income tax forms that you may need, plus all federal income tax forms.

Form Code	Form Name
Form K-40	Individual Income Tax Return Tax Return
Schedule S	Individual Income Tax Supplemental Schedule
Form K-40V	Kansas Payment Voucher Voucher
Form K-40H	Homestead Claim Tax Credit
Form K-40ES	Individual Estimated Income Tax Vouchers Estimated

Download all KS tax forms View all 74 Kansas Income Tax Forms

Form Sources:

Kansas usually releases forms for the current tax year between January and April. We last updated Kansas Form DO-5 from the Department of Revenue in February 2024.

Show Sources >

About the Individual Income Tax

The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.

Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!

Historical Past-Year Versions of Kansas Form DO-5

We have a total of nine past-year versions of Form DO-5 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:

2023 Form DO-5

DO-5 Name or Address Change Form Rev. 10-20

2022 Form DO-5

DO-5 Name or Address Change Form Rev. 10-20

2021 Form DO-5

D0-5 Name or Address Change Form Rev. 10-20

2020 Form DO-5

D0-5 Name or Address Change Form Rev. 10-20

2019 Form DO-5

D0-5 Name or Address Change Form Rev. 12-18

2018 Form DO-5

D0-5 Name or Address Change Form Rev. 12-18

2017 Form DO-5

D0-5 Name or Address Change Form Rev. 8-17

2016 Form DO-5

DO-5 Name or Address Change Form (Rev. 6-13)

2015 Form DO-5

DO-5 Name or Address Change Form (Rev. 6-13)

TaxFormFinder Disclaimer:

While we do our best to keep our list of Kansas Income Tax Forms up to date and complete, we cannot be held liable for errors or omissions. Is the form on this page out-of-date or not working? Please let us know and we will fix it ASAP.