Form Cr-18 - Kansas Business Tax Application Ownership And Signature Form
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1KANSAS BUSINESS TAX APPLICATION
OWNERSHIP AND SIGNATURE FORM
FOR OFFICE USE ONLY
RCN -
Business Name ___________________________________________________________
EIN or "K" No. ___ ___
___ ___ ___ ___ ___ ___ ___
Reason for submitting this form (mark one)
Continuation sheet of Part II of Form CR-16,
Change of corporate officers or directors
Kansas Business Tax Application
Effective date of change _____/_____/_____
mm
dd
yy
Please complete the information on each owner or officer so that your business information is the most current information possible. If
more space is needed, you may copy this form. Note: When a business fails to report or pay the appropriate state taxes, any individual
who is responsible for the tax authorizes the Secretary of Revenue to research the credit history of the business or that individual.
-
Signature of owner, partner or corporate officer
Printed full proper name of owner, partner or corporate officer
SSN/EIN
Title
(Circle One)
Home Address
(Street Address)
(City)
(State)
(Zip Code)
Home Telephone (
)
Percentage of Ownership
%
Do you have control or authority over how business funds or assets are spent?
Yes
No
Date that you became the owner, partner or corporate officer of this business. Month
Day
Year
-
Signature of owner, partner or corporate officer
Printed full proper name of owner, partner or corporate officer
SSN/EIN
Title
(Circle One)
Home Address
(Street Address)
(City)
(State)
(Zip Code)
Home Telephone (
)
Percentage of Ownership
%
Do you have control or authority over how business funds or assets are spent?
Yes
No
Date that you became the owner, partner or corporate officer of this business. Month
Day
Year
-
-
Signature of owner, partner, or corporate officer
Printed full proper name of owner, partner, or corporate officer
SSN/EIN
Title
(Circle One)
Home Address
(Street Address)
(City)
(State)
(Zip Code)
Home Telephone (
)
Percentage of Ownership
%
Do you have control or authority over how business funds or assets are spent?
Yes
No
Date that you became the owner, partner or corporate officer of this business. Month
Day
Year
-
Signature of owner, partner or corporate officer
Printed full proper name of owner, partner or corporate officer
SSN/EIN
Title
(Circle One)
Home Address
(Street Address)
(City)
(State)
(Zip Code)
Home Telephone (
)
Percentage of Ownership
%
Do you have control or authority over how business funds or assets are spent?
Yes
No
Date that you became the owner, partner or corporate officer of this business. Month
Day
Year
Return this form to: Kansas Department of Revenue
915 SW Harrison St., Topeka, KS 66625-9000 or Fax to: 785-291-3614
For assistance phone: 785-368-8222
CR-18
(Rev. 6/04)
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