Certification Of Business Debtor Page 2
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1
2
3Corporate Tax Returns have been filed
12/31/2011.
12/31/2012.
12/31/2013.
with the IRS through the year ending:
12/31/2014.
12/31/2015.
12/31/2016.
12/31/2017.
12/31/2018.
12/31/2019.
12/31/2020.
Not Required.
My business had, other than the
W-2 Employees.
owner(s), partner(s), or share holders:
Sub-Contractors for which 1099-MISC were issued.
Both Employees & Sub-Contractors.
Casual Laborers for which no 1099-MISC were required.
No Employees or Sub-Contractors.
My business has filed final tax
12/31/2011.
12/31/2012.
12/31/2013.
returns required by the IRS / State
12/31/2014.
12/31/2015
12/31/2016.
through the year ending:
12/31/2017.
12/31/2018.
12/31/2019.
12/31/2020.
(This includes annual return for the year you went out of business; final employment tax return & made final federal tax deposit
on these taxes; annual tax return for the LLC, LLP, Partnership or Corporation; Schedule K-1s; & a report disposing of business
property).
I have / had bank accounts in the
Checking.
Savings.
name of my business as follows:
Money Market.
Federal Credit Union.
Paypal Account.
Other Account(s).
No Account(s).
I have / had bank accounts in
Checking.
Savings.
Debtor(s)' name or name of Non-
Money Market.
Federal Credit Union.
Debtor spouse or significant other as
follows:
Custodial.
Paypal Account.
Other Account(s).
No Account(s).
My business assets totaled
(as of time of closing):
My business:
has
complied with all State and Federal Requirements
regarding the closure of this business. You should refer
has not
to the IRS's web-site( ) and State
of NJ's web-site ( ) for
required procedures in closing a business.
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