My old state just realized I left 2.5 years ago. (Yes, I did the change of address, closed things out, and registered to vote in my new home state.)
I'm quite fond of the issue between the fifth option and the signature it requires, plus the fact that (aside from the zip code and other USPS requirements) this could have looked identical a hundred years ago. No website, email, or phone number. Also note the old convention of two spaces following each period.