Form As 2914.1 B - Application For Amendments To The Merchant'S Registration Certificate Of A Commercial Location
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Government of Puerto Rico
Form AS 2914.1 B
DEPARTMENT OF THE TREASURY
Rev. Sep 26 12
APPLICATION FOR AMENDMENTS TO THE MERCHANT'S
REGISTRATION CERTIFICATE OF A COMMERCIAL LOCATION
Receipt Stamp
Use this form to make changes or amendments to your Merchant’s Registration Certificate, per
location.
PART I – CHANGES OR AMENDMENTS TO A MERCHANT’S REGISTRATION CERTIFICATE
Complete only the box for Merchant’s Registration Number and those boxes that require changes
or amendments.
In order to process your application, you shall provide the eleven digit Merchant’s
Registration number issued to this commercial location.
GOVERNMENT OF PUERTO RICO
DEPARTMENT OF THE TREASURY
MERCHANT'S REGISTRATION CERTIFICATE
Merchant's Registration Number
(Required Field)
Location's Name and Physical Address:
Legal Name and Physical Address of Principal Office:
Do not complete this box. To
inform changes to the legal
name and physical address of
the principal office, refer to
Form AS 2914.1 A.
ADDITIONAL CHANGES TO THE LOCATION / ACTIVITY:
NAICS Code:
Commercial Activity:
Type of Certificate:
Merchant
Mobile business
Temporary business
Exhibitor
If you checked Temporary business or Exhibitor, indicate:
(
)
From:
To:
Day
Month
Year
Day
Month
Year
(
)
Beginning Date of Operations:
Day
Month
Year
Business Volume:
$
,
,
.
Indicate if you sell tangible personal property:
Yes
No
Description:
Retention: Six (6) years.
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