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Feb 6, 2020 · If you would like to communicate your change of address sooner than tax time, you can file a Name or Address Change Form (Form DO-5) with the Kansas Department of Revenue Taxpayer Assistance Center.
Patient Forms. Please print and fill out these forms so we can expedite your first visit: New Patient Registration; Current Patient Update; HIPAA Disclosure; In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it:
- 9501 N Oak Trafficway #205, Kansas City, 64155, MO
- (816) 436-2242
Form is used to change your personal name, address, or email address. Business can also use this form to change the same items but also change business and/or DBA name, mailing or location address. Indicate which ta types it effects.
Aug 24, 2020 · Use Fill to complete blank online KANSAS DEPARTMENT OF REVENUE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.
Feb 16, 2024 · 121 patient reviews. 7611 State Line Road, Suite #145, Kansas City, MO 64114. Schedule Appointment. 816-822-0990. About our office. Dr. J. Richard Burch and our dental team are proud to provide comprehensive dentistry. We offer all of the dental treatments you need to reach a bright, healthy smile. Our office is warm and inviting.
- 7611 State Line Road, Suite #145, Kansas City, 64114, MO
- (816) 822-0990
W-9Download PDF. Find helpful forms for members, employers, brokers, dentists and more at Delta Dental of Kansas.
How to Change Your Address Online Go to the Official USPS Change of Address® website. Choose an option for either an "Individual," "Family" (where everyone has the same last name), or "Business" move, and complete the form.
