Your First name/Last name

Address

Postal code/ CITY

[Name of the targeted company]

Address

Postal code/ City

Done in [your city], on [specify the date].

Subject: Change of address declaration [indicate your contract number].

Dear Sir or Madam,

I hereby inform you that I will be changing residence as of [indicate the moving date]. Under these conditions, please update my new contact details below for the sending of your future correspondence:

[New address]

Please accept, Sir or Madam, the expression of my distinguished regards.

[Your signature]