821d on page 7 for additional information....just make sure you fill for the line of information you want to respond to in the boxes. In the case of the address addition you would continue the fourth address indicating as below,
3.a. Page Number is 3
3.b. Part Number is 2
3.c. Item Number is 2
01/20/2000 to 06/30/2003
120 Grant Ave
Los Angeles CA 92029
06/30/2003 to 05/30/2004
123 Street
San Francisco ca 91234