Change of Address and Contact Information

If you want to change registered contact information for a vehicle, you have to use this form. Complete the form with the new information and send it along with any necessary filing fees.

Extracted Text for Proper Search

HSMV 85041 Rev. 	12	/14 	
 	 	 	 	 	
 
 
ACCOUNT NAME	   	
 	
Please check one or both and provide the account number(s):	 	
 	
(   )  IRP ACCOUNT #	 	 	(   )  IFTA ACCOUNT #	 	 	 	
OLD	 ADDRESS INFORMATION	 	
 	 	 	Physical	 	 	 	 	 	 	 	Mailing	 	
 	 	 	
 	 	 	
 	 	 	
Telephone 	Number:	 	 	Telephone Number:	 	 	
NEW	 ADDRESS and CONTACT INFORMATION	 	
 	 	 	Physical	 	 	 	 	 	 	 	Mailing	 	
 	 	 	
 	 	 	
 	 	 	
Telephone Number:	 	 	Telephone Number:	 	
Name of New Contact (if applicable)	 	
Change or Cancel Power of Attorney?  YES  		   NO  		   New Power of Attorney is Enclosed?   YES  		   N/A	  	    	
 
 
 
 
 
 
 
 
 
  	
NOTE:	 	A change to your physical address requir	es issuance of a new cab card.	 	
Please enclose $	3.25 per vehicle	. 	 	
MAIL COMPLETED FORM AND ANY OTHER ENCLOSURES TO:	 	
Bureau of Commercial 	Vehicle	 and Driver 	Services 	– Neil Kirkman Building, MS 62	 	
2900 Apalachee Parkway 	– Tallahassee, FL 32399	-0626	 	
Telephone (850) 617	-3711 	– FAX (850) 617	-3931	 – www.flhsmv.gov	 	
 	
OUR MISSION	 	
PROVIDING HIGHWAY SAFETY AND SE	CURITY THROUGH	 	
EXCELLENCE IN SERVICE, EDUCATION, AND ENFORCEMENT	 	
OUR VISION	 	
A SAFER FLORIDA!	 	
 	
CHANGE OF ADDRESS	 	
and CONTACT INFORMATION	 	
* PROOF	 OF RESIDENCY	 – To change your 	
physical address	, you 	must	 include three 	
items from the following list with this 
completed form.	 	
Signature______________________________________________	 	
Title___________________________Date___________________	 	
Current copy of a Florida driver’s license in your name.	 	
Copy of a document indication your company is a Florida corporation or is registe	red to conduct business as a foreign corporation in Florida.	 	
Copy of document indicating you are a resident of Florida and the principal owner of a Florida corporation.	 	
Current copy of a Federal income tax return, in your name, indication the return was fi	led from your Florida address.	 	
Current copy of a tax bill indicating real estate or personal property taxes have been paid in your name for your Florida add	ress.	 	
Current copy of a utility bill paid in your name for your Florida address.	 	
Copy of a vehicle t	itle or registration for a vehicle titled in Florida in your name.