Form 51a205 - Kentucky Sales And Use Tax Instructions/account Maintenance Information Page 2
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1
2NEED HELP?
Telephone assistance is available from 8:00 a.m. to 4:30 p.m. Monday through Friday. Assistance and
forms are available from:
!
Sales and Use Tax Assistance
(502) 564-5170
nternet Access
I
Telecommunication Device for the Deaf (502) 564-3058
Fax-on-Demand
(502) 564-4459
Taxpayer Service Centers
Mailing Address for Assistance
Ashland
(606) 920-2037
Louisville
(502) 595-4512
Kentucky Department of Revenue
Bowling Green (270) 746-7470
Northern Kentucky
(859) 371-9049
Sales and Use Tax Division
Central KY
(502) 564-4581
Owensboro
(270) 687-7301
PO Box 181, Station 53
Corbin
(606) 528-3322
Paducah
(270) 575-7148
Frankfort, KY 40602-0181
Hopkinsville
(270) 889-6521
Pikeville
(606) 433-7675
Cut Here and Enclose Account Maintenance Information With Return
ACCOUNT MAINTENANCE INFORMATION
Account number
Name as it currently appears on permit
" Change mailing address to:
" Request for cancellation (date business terminated) ___________
Street
Reason: _______________________________________________________
City
State
ZIP code
" Change in ownership (Complete Form 10A100, Kentucky Tax
If sold, indicate name and address of new owners ______________
Registration Application, which will be mailed to you upon
receipt of this form.) Form 10A100 may also be obtained by
_____________________________________________________________
calling (502) 564-3306 (toll), through Fax-on-Demand (502) 564-
4459 or from the tax forms page of the Department of Revenue
_____________________________________________________________
Web site listed above.
" Change location address to:
Types of Ownership Changes Requiring Form 10A100:
Individual to Individual/Partnership/Corporation/LLC
Street
Partnership to Partnership/Individual/Corporation/LLC
Corporation to Corporation/Individual/Partnership/LLC
LLC to LLC/Individual/Partnership/Corporation
City
State
ZIP code
The statements indicated are hereby certified to be correct to the
best knowledge and belief of the undersigned who is duly
Current Telephone Number___________________________________
authorized to sign this request.
" Change of business name
Name change only
Signature
Date
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