Discontinuation Of Business Activity Form - The City Of Pittsburgh Department Of Finance
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1
2The City of Pittsburgh
Department of Finance
Discontinuation of Business Activity Form
PRINT OR TYPE ALL INFORMATION
DO NOT USE RED INK
______________________
CITY ID NUMBER:
NET PROFIT / WT-4 Account Number: (if applicable) _________________________
FEDERAL EIN: _________________________ or S.S. # __________________________
Legal Name (Last, First, M)
Trade name (if any)
Address
City
State
Zip
Type of Business Entity:
Sole Proprietorship
Partnership
Corporation
S-Corporation
Other _________________________
(fill in oval)
A. BUSINESS ACTIVITY INFORMATION:
(1)
Has the business entity discontinued all operations?
YES
NO
If YES, date of discontinuation
: __________________
(2)
Have all locations closed?
YES
NO
If NO, what locations are open? (Provide business addresses)
______________________________________________________________________
(3)
Has the business entity been sold?
YES
NO
If YES, name(s) of new owner(s):
_____________________________________
(4)
Has the business entity moved from Pittsburgh?
YES
NO
: _____________________________________
If YES, address of new location
______________________________________________________________________
Note: If a business is no longer located in the City of Pittsburgh limits, but performs any
type of service, contractual or otherwise within the City limits, that business may still
be liable for City/School District taxes. Contact the City of Pittsburgh Taxpayer Services
Center for further information at 412-255-2508.
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