Form Gr-6-It - Notice Of Change Or Discontinuance - City Of Grand Rapids
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1City of Grand Rapids
GR-6-IT
Rev. 10/98
Income Tax Department
NOTICE OF CHANGE OR DISCONTINUANCE
ACCOUNT NUMBER (FEIN)
CHANGES EFFECTIVE ON (Date)
CURRENT LEGAL NAME
CHANGE LEGAL NAME TO:
DBA
CHANGE DBA TO:
CURRENT LEGAL BUSINESS ADDRESS
CHANGE LEGAL BUSINESS ADDRESS TO:
MAILING ADDRESS
CHANGE MAILING ADDRESS TO:
Instructions: Place an “X” in all boxes that apply. Complete all information for that change.
Write any comments or explanations on back of form.
1. The Internal Revenue Service assigned us Federal Employer Identification Number: ___________________
2. Our Federal Employer Identification Number is wrong. The correct number is: _______________________
3. We have incorporated. Our corporate name is: _______________________________________________
4. Our new corporate Federal Employer Identification Number is: ___________________________________
5. Discontinue our withholding tax registration:
We no longer have any business activity in the City of Grand Rapids.
We closed our business on:
We sold our business to:
We sold our entire business on:
We sold part of our business on:
Their FEIN is:
6. Address and phone number where we may be reached following discontinuance of business:
______________________ _____________________ _____________ ____ _________ _____________
CONTACT PERSON
STREET ADDRESS
CITY
STATE
ZIP CODE
PHONE
7. Change in ownership. (Please explain on back)
8. Effective _________________, we changed our fiscal year ending from __________ to __________
MONTH/YEAR
MONTH
MONTH
9. Other changes. (Please explain on back)
SIGNATURE OF PREPARER
PRINTED NAME OF PREPARER
DATE PREPARED
PREPARER’S PHONE
NUMBER
(
)
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MAIL THIS NOTICE AND ANY CORRESPONDENCE TO: GRAND RAPIDS INCOME TAX DEPT., P.O. BOX 347, GRAND RAPIDS, MI 49501-0347
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Parent category: Financial