Form Pra-012i - Premier Resort Area Tax Return Form Page 2

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Taxpayer Information Changes
Resort Area
Bayfield
Lake Delton
Wisconsin Dells
(check appropriate boxes)
Business Discontinued:
Business Discontinued Date:
Yes
MM
DD
YYYY
No
Please indicate reason for discontinuation:
Died
Merger with
Partner Added
Formed LLC
Never operated
Partner dropped
Incorporated
No liability
Sold to
Other
(please explain)
Mailing Address Change
Business Location Change
Street address
City
State
Zip code
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