Fold down here - Tape at bottom to seal. OHIO BUREAU OF MOTOR VEHICLES CHANGE OF ADDRESS (PLEASE TYPE OR PRINT COMPLETE INFORMATION) NAME (First) Middle Initial DATE OF BIRTH* (Required) OLD ADDRESS (Street) Last DRIVER LICENSE NUMBER* (Required) City State Zip Code CORRECT RESIDENCE ADDRESS (Where you live; your permanent home address) NEW ADDRESS (Street) COUNTY City State Zip Code LOCATED IN CITY, VILLAGE OR TOWNSHIP OF (Specify) MAILING ADDRESS (If different from Residence Address above) (Street or P.O. Box) This mailing address is: City State Zip Code ❑ Permanent: Send all mail to this address until further notice. ❑ Temporary: Send all mail to this address only during these dates: Start date: _________________ End date: _________________ License Plate Number ____________________________ License Plate Number __________________________ License Plate Number ____________________________ License Plate Number __________________________ Signature X _______________________________________________________ Date __________________ *Change cannot be completed without Date of Birth and Driver license Number BMV 5756 8/02 American LegalNet, Inc. www.FormsWorkflow.com ______________________________________ Postage Required Post Office will not deliver without proper postage. ______________________________________ ______________________________________ OHIO DEPARTMENT OF PUBLIC SAFETY DEPUTY REGISTRAR SERVICES P O BOX 16520 COLUMBUS OH 43216-6520 (TAPE HERE)  American LegalNet, Inc. www.FormsWorkflow.com