Florida’s HSMV 85041 Address Change Form PDF

If you are a commercial vehicle operator in Florida with an International Registration Plan (IRP) or International Fuel Tax Agreement (IFTA) account, changing your address involves more than the standard online update. You’ll need to use the HSMV 85041: Address Change Form. This guide breaks down exactly how to fill out and submit this form to ensure your records are updated correctly and without delay.

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Who Needs to Use Form HSMV 85041?

This form is not for the standard driver’s license holder. It is specifically intended for individuals or businesses that need to update the address associated with their IRP or IFTA accounts. You must use this form if you are changing your:

• Established Place of Business
• Residential Address (if tied to your IRP/IFTA account)
• Mailing Address

Step-by-Step: Filling Out the Address Change Form

The HSMV 85041 form is a straightforward, one-page document. Let’s walk through each section.

1. Account Holder Information: At the top, provide your official name as it appears on your account, your IRP and IFTA account numbers, and a current email address. The FLHSMV will use this email to send your updated Cab Card(s).
2. Physical Address Change:
   • Enter your complete “Old Physical Address.”
   • Enter your complete “New Physical Address.”
   • You must select one of the two checkboxes to classify your new physical address as either an “Established Place of Business” or a “Residence”. This choice determines which supporting documents you need to provide.
3. Mailing Address Change:
   • If your mailing address is also changing, fill in the “Old Mailing Address” and “New Mailing Address” sections.
   • Select whether the new mailing address belongs to the “Registrant/Licensee” or an “Authorized Agent”.
4. Signature and Authorization: Print your name, provide a telephone number, and sign and date the form. Finally, check the box indicating if you are the “Registrant/Licensee” or a “Company Officer”.

Crucial: Required Supporting Documentation

Changing your physical address requires you to submit proof. You must provide three documents from one of the lists below. All documents must clearly show the account holder’s name and the new physical address.

For an “Established Place of Business” in Florida:

• Required: A copy of an IRS employer form (like a W-2, W-3, or 941) showing the business has at least one employee.
• Plus any two of the following:
  • A document from the Florida Department of State addressed to the business.
  • A receipt for payment of corporate or payroll taxes from the FL Department of Revenue.
  • A business or occupational license issued by a Florida city or county.
  • A property tax assessment for the most recent tax year.
  • A utility bill or bank statement issued to the business within the last 90 days.
  • A lease agreement for the commercial property.

For a “Residence” in Florida:

• Required: Your unexpired Florida driver’s license or ID card.
• Plus any two of the following:
  • An IRS receipt for filing personal federal income taxes.
  • A bank statement or utility bill issued to you within the last 90 days.
  • A real estate or property tax bill for the most current year.
  • Your Florida vehicle title or registration.
  • A current lease agreement.

How to Submit the Form

The submission method depends on what you are changing:

• Physical Address Change: You must submit the completed and signed Form 85041 and all three supporting documents by mail. A fee applies for each vehicle that requires a new cab card.
• Mailing Address Change ONLY: If you are only updating your mailing address, you can email the completed form to [email protected].

Conclusion

Updating your address for an IRP or IFTA account requires careful attention to detail, and Form HSMV 85041 is the official tool for the job. Unlike a standard license update, the key to a successful submission lies in providing the correct supporting documentation for your new physical address. By double-checking that you have the required proofs and submitting the form through the proper channel—mail for physical address changes or email for mailing address updates—you can ensure your commercial vehicle records are updated smoothly and stay in compliance with Florida regulations.