All branches Personnel & Career DD Form 2058 Ed. (current edition)

DD 2058 — State of Legal Residence Certificate

Draft a change to your state of legal residence for tax withholding before submitting to finance.

What this worksheet covers

Open it in the toolkit and these fields prefill from your service profile — rank, name, and unit are filled in on the spot.

Administrative data

  • Name (Last, First, MI)
  • Grade / rank
  • DoD ID

Residence

  • New state of legal residence / domicile
  • Previous state
  • Effective date
Draft / worksheet aid. Prepare it here, then transcribe into your official system of record. This is not an official submission — verify against the current official DD Form 2058 before use.
Fill, save & export this worksheetPrefilled from your profile · autosaves to your account · export to PDF. Free to preview, Pro to save & export.
Open in the toolkit →