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Change of address notice template (US)

A general template under US law. Laws differ from state to state, so check it against your state's law or with a lawyer licensed there. We are not a law firm and do not give legal advice.

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Preview — US standard

Change of Address Notice

Your Name

New Address

Phone

Email

Date: Letter Date

To: Organization Name

Department, such as Customer Service or Records

Organization Address

Re: Change of address for Account, Policy, Member or Customer Number

Dear Sir or Madam:

Please update your records with my new mailing address, effective Effective Date.

| | Address |

| --- | --- |

| Old address | Old Address |

| New address | New Address |

Account or reference number: Account Number

Name on the account: Name on Account

Last four digits of SSN or other identifier, if you require it: Identifier

Please also update: Other Details to Update, such as Phone Number, Email or Billing Address.

Please send all future correspondence, statements and tax forms to the new address. I have also filed a change of address with the U.S. Postal Service.

If you need anything further to make this change, please contact me at the phone or email above. I would appreciate a written confirmation once the change is made.

Sincerely,

Your Signature

Your Printed Name

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