Nebraska Form 22A PDF Details

Filing the Nebraska 22A form is a critical step for individuals who need to inform the state's Department of Revenue about a change in either their name or mailing address, specifically for the purpose of individual income tax. This procedure is not only a matter of ensuring that tax documents and communications reach the right hands, but it also helps maintain accurate and up-to-date records with the state tax authorities. The form requests essential information such as the filer's social security number, Nebraska ID number, previous and new names, as well as former and current mailing addresses. For those filing a joint return, similar details are required for the spouse. Completing the form accurately is paramount, as the signer declares under penalty of law that the information provided is correct and complete. Furthermore, the form allows for the inclusion of a taxpayer's email address, with the understanding that correspondence from the Department of Revenue might follow via this modern channel. The option to transmit this sensitive information through email or the State of Nebraska’s file share system suggests a move towards more secure methods of communication. Submission of this request can be accomplished via fax or traditional mail, with instructions emphasizing the importance of retaining a copy for personal records. The Nebraska 22A form embodies a straightforward yet vital process for updating individual taxpayer details with the state, reflecting the larger framework of tax administration's adaptation to contemporary needs for accuracy and security.

QuestionAnswer
Form NameNebraska Form 22A
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names Nebraska Change of Address Request for Individual Incom

Form Preview Example

Nebraska Change of Address Request

for Individual Income Tax Only

FORM

22A

Social Security Number

 

 

 

 

 

 

 

 

 

 

 

Nebraska ID Number

 

 

 

 

 

 

 

 

 

Previous Name and Mailing Address

 

New Name and Mailing Address

 

 

 

 

 

 

 

Your First Name and Initial

Last Name

 

Your First Name and Initial

Last Name

 

 

 

 

 

 

 

If a Joint Return, Spouse’s First Name and Initial

Last Name

 

If a Joint Return, Spouse’s First Name and Initial

Last Name

 

 

 

 

 

 

 

Street or Other Mailing Address

 

 

Street or Other Mailing Address

 

 

 

 

 

 

 

 

City

State

Zip Code

City

State

Zip Code

 

 

 

 

 

 

Reason for Request

 

 

 

 

 

Under penalties of law, I declare that I have examined this request, and to the best of my knowledge and belief, it is correct and complete.

sign here

 

 

 

 

 

Duly Authorized Signature

 

Date

 

Phone Number

 

 

 

Email Address

Instructions

Email Address. By entering an email address, the taxpayer acknowledges that DOR may contact the taxpayer by email. The taxpayer accepts any risk to confidentiality associated with this method of communication. DOR will send all confidential information by secure email or the State of Nebraska’s file share system.

You may fax this request to 402-471-5927, or

mail to: Nebraska Department of Revenue, PO Box 98911, Lincoln, NE 68509-8911.

Please keep a copy for your records.

8-548-1996 Rev. 9-2021

8-548-1996 Rev. 11-2016

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Filling out section 1 in Nebraska Form 22A

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