Form Gew-Ta-Rv-5 - General Excise/use, Employer'S Withholding, Transient Accommodations And Rental Motor Vehicle & Tour Vehicle Surcharge Application Changes - 2007 Page 2

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FORM GEW-TA-RV-5
(REV. 2007)
14. Partners or corporate officers to be ADDED:
Identify partners or principal corporate officers - title - address - city - state - zip
Social Security Number
(If more space is needed, attach a separate list of names, titles, and addresses.)
Name
Address
Title
15. Address(es) of your rental real property, rental motor vehicle and/or tour business, and transient accommodations to be ADDED:
List by island. If a transient accommodation or a rental motor vehicle or tour business,
Check if Check if
Island
place a check mark in the appropriate column on the right. (If more space is needed,
TA
RV
attach a separate schedule.)
17. Partners or corporate officers to be DELETED:
Identify partners or principal corporate officers - title - address - city - state - zip
(If more space is needed, attach a separate list of names, titles, and addresses.)
Social Security Number
Name
Address
Title
18. Address(es) of your rental real property, rental motor vehicle and/or tour business, and transient accommodations to be DELETED:
List by island. If a transient accommodation or a rental motor vehicle or tour business,
Check if Check if
Island
place a check mark in the appropriate column on the right. (If more space is needed,
TA
RV
attach a separate schedule.)

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