Step by Step Instructions on How to Fill Out the USPS Form 1583

Box #


Box #1Enter the date you are filling out the form.
Box #2Enter your name and your business name if applicable.

This is the name of who the mail will be sent to and can also be your doing business name (sometimes called a fictitious business name) if registered depending on which state you live. 
Box #3Enter the following for box 3 options:

3a) C/O Postmarked, 20619 Torrence Chapel Rd Ste 116 #XXXX

3b) Cornelius

3c) NC 


3d) 28031

XXXX = your mailbox number
Box #4Enter the following for box 4 options:

4a) Postmarked

4b) 20619 Torrence Chapel Rd Ste 116 #XXXX

4c) Cornelius

4d) NC

4e) 28031

XXX = your mailbox number

Box #5

Enter yes and sign your name as it appears in Box 2.  Use just your personal name not your business name.

Box #6Enter your legal name as it appears on your photo ID.
Box #7For boxes 7a through 7e enter your personal home address information as applicable.
Box #8Two forms of identification are required in this section and a reminder, one must be a picture ID. The agent must write in identifying information. Subject to verification.

Note: Under box 8b you can see the list of acceptable IDs
Box #9If you are using your mailbox for business purposes enter the legal name of your business
Box #10If you are using your mailbox for business purposes, and your business has a different physical address than what you entered in boxes 7a through 7d, enter your business physical address.  If you don't have a physical address for your business you can enter your home address again or leave boxes 10a through 10e blank.
Box #11Enter what your business does and type of product or service you manage and/or sell.
Box #12If you are using your mailbox for business purposes, and your mailbox will be used by multiple people at your company or firm, enter each name that may receive items to your mailbox. The same rules apply for identity so each member needs to submit verifiable identification.  Additionally, your plan may limit the number of recipients or charge additional monthly fees for extra recipients.  Please see your plan documentation for further details.

If you are not using your mailbox for business purposes leave this field blank.
Box #13This is for any member of a corporation who would receive mail at this address. It is even more stringent than a “firm” as you also need to add the address of each of the officers.
Box #14If your business name is registered they actually need the country, state and date of registration. You may need to reference your DBA or doing business as files, also called a fictitious business name in some states.
Box #15This is for the notary or authorized agent to sign. There is nothing for you to enter in this box.  In some jurisdictions the notary will sign this box and stamp this form.  In other jurisdictions you may have a second sheet for the notary to attach.  
Box #16This is your signature to finalize. And if the applicant is a corporation or a firm, only an officer can sign (officer must be listed in box 13). They also have to include their title.