Form Rpu-3 Instructions - Department Of Revenue Page 2

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Step 3: Tell us about your owners, general partners,
and executive officers
Line 16 - Write the full names of all owners, general partners,
and executive officers. Do not use initials or nicknames. Write
the Social Security number or FEIN, title, home address, and
telephone number for each name you list. If you need addi-
tional space, attach a separate sheet.
If the business is a sole proprietorship, write the proprietor’s
name and Social Security number on the lines provided.
If the business is a partnership, write the general partners’
names and Social Security numbers or FEIN (if a corporation
is a general partner).
If the business is a corporation, write the executive officers’
names and Social Security numbers.
If the business is a governmental agency, write the agency
officials’ names and Social Security numbers.
Line 17 - If you have an agent who is designated to file your
returns, write that person’s full name. Do not use initials or
nicknames. Also write this person’s Social Security number or
FEIN, daytime telephone number, and home address. You must
attach Form RPU-34, Power of Attorney, to your application.
Step 4: Sign below
This application must be signed in ink by one of the owners,
general partners, or executive officers listed in Step 3. Be sure
to type or print the name of the person who signed the appli-
cation on the line to the left of the signature. Do not use
photocopies or signature stamps.
RPU-3 Instructions back (R-5/98)

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