Business Questionaire Template - Division Of Taxation, Village Of Whitehouse Page 2

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If business was outgrowth of another, please complete the following:
Name of former owner(s)
Trade name (if any)
ID#
Name, address & phone number of the person who prepares your tax forms:
Name, address & phone number of payroll service:
I CERTIFY THE ABOVE TO BE TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE.
Signed: _________________________________ Title:
Date: ______________

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