Form B-2 - Notice Of Change
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1Vermont Department of Taxes
Phone: (802) 828-2551, option #3
Business Tax Division
Fax:
(802) 828-5787
PO Box 547
Montpelier, VT 05601-0547
This is not a return.
NOTICE OF CHANGE
Form
Use for account changes only.
B-2
Owner’s Name
Federal ID Number
A
Business Name
VT Account Number
Business Location Street Address
Business Location City, State, ZIP Code
Check all appropriate boxes below and mail to us at the address above.
B
Cancel Account*
/
/
Tax Type: _____________ Account No: ___________________________________ Date taxable activity discontinued: ___________________
/
/
Tax Type: _____________ Account No: ___________________________________ Date taxable activity discontinued: ___________________
/
/
Tax Type: _____________ Account No: ___________________________________ Date taxable activity discontinued: ___________________
* If you are requesting a cancellation of a Sales and Use tax and/or Meals and Rooms tax account(s), please also enclose the tax license you were
issued, or explain the absence of same below (i.e.: lost, destroyed, etc.). LICENSES ARE NOT TRANSFERABLE TO NEW OWNER OR ENTITY.
Name, Address, Federal ID No. changed as noted below.
NEW Name ___________________________________________________________________________________________________
NEW Business Location _________________________________________________________________________________________
NEW Mailing Address ___________________________________________________________________________________________
NEW Federal ID Number _________________________________________________________________________________________
Business sold to: ________________________________________________________________________ Date sold: ___________________
/
/
Change of entity type** (Example: Sole Proprietor to Corporation). Describe: ___________________________________________________
** You may use this form to cancel the original account, but you need to register the new entity by completing Form S-1, Application for Business
Tax Account. Both forms can be mailed in the same envelope.
EXPLANATION
C
Reason for requesting this change: _________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
SIGNATURE
D
Signature of Officer or Authorized Agent
Date
Printed Name of Officer or Authorized Agent
Title
Telephone Number
Form B-2
Rev. 6/10
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