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Section 2: Tell us if you discontinued or sold your business
6 Did you discontinue your business?
____ yes ____ no
If “yes,” when? _ _/_ _/_ _ _ _
If “yes,” check all of the taxes for which you are no longer liable.
____ Sales and use ____ Business income
____ Withholding income ____ Automobile renting
Note: If your business was part of a merger or consolidation, please attach a sheet explaining the details.
Will you collect accounts receivable? If yes, you must continue to file sales and use tax returns.
____ yes ____ no
7 Did you sell your entire business?
____ yes ____ no
If “yes,” when? _ _/_ _/_ _ _ _
If “yes,” to whom did you sell your business?
Name ______________________________________
Address ____________________________________
___________________________________________
Section 3: Sign below
Signature __________________________________________________ Daytime phone (____)___________ Date
__ __/__ __/__ __ __ __