Form Tpg-170 - Business Taxes Status Letter Request

Download a blank fillable Form Tpg-170 - Business Taxes Status Letter Request in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Tpg-170 - Business Taxes Status Letter Request with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Print Form
Reset Form
Save Form
Department of Revenue Services
Business Taxes
State of Connecticut
25 Sigourney Street
Status Letter Request
Hartford CT 06106-5032
(Letter of Good Standing)
TPG-170 (New 07/06)
Part I: Taxpayer Information
Business Name
Telephone Number
(
)
CT Tax Registration Number
Federal Employer ID
Mailing Address
City
State
ZIP Code
Business Location (if different from mailing address)
City
State
ZIP Code
Part II: Status Letter Information
Reason for Request:
Part III: Third Party Information - Any letter mailed or faxed to a third party will have the original letter sent to the
business making the request.
Check here if you wish to have the status letter mailed to a third party:
Name
Address
City
State
ZIP Code
Check here if you wish to have the status letter faxed to a third party:
Name
Fax Number
(
)
Part IV: Declaration
I declare under penalty of law that I have examined this document (including any accompanying schedules and
statements) and, to the best of my knowledge and belief, it is true, complete, and correct. I understand the penalty for
willfully delivering a false return or document to Department of Revenue Services (DRS) is a fine of not more than
$5,000, or imprisonment for not more than five years, or both. The declaration of a paid preparer other than the
taxpayer is based on all information of which the preparer has any knowledge.
Signature
Print Name
Date
Sign
Here
Keep a
copy for
Title
Telephone (daytime)
your
(
)
records.

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form Tc-804b - Business Tax Payment Agreement Request Form Tc-804b - Business Tax Payment Agreement Request Financial
Form Tc-804b - Business Tax Payment Agreement Request Form Tc-804b - Business Tax Payment Agreement Request Financial
Form Tpg-169 - Individual Income Tax Status Letter Request - Department Of Revenue Services Form Tpg-169 - Individual Income Tax Status Letter Request - Department Of Revenue Services Financial
Form 511 - Tax Status Letter Request Form 511 - Tax Status Letter Request Financial
Form Rev-424 - Corporation Taxes - Annual Extension Request Form Rev-424 - Corporation Taxes - Annual Extension Request Financial
Form 12a200 - Individual Income Tax Installment Agreement Request Form 12a200 - Individual Income Tax Installment Agreement Request Financial
Form Tc-405 - Miscellaneous Tax Payment Agreement Request Form Tc-405 - Miscellaneous Tax Payment Agreement Request Financial
Form Dr 0096 - Request For Tax Status Letter Form Form Dr 0096 - Request For Tax Status Letter Form Financial
Form Dr 0096 - Request For Tax Status Letter - 1997 Form Dr 0096 - Request For Tax Status Letter - 1997 Financial
Form Dr 0096 - Request For Tax Status Letter - Colorado Department Of Revenue Form Dr 0096 - Request For Tax Status Letter - Colorado Department Of Revenue Financial

Related Categories

Parent category: Financial
Download
Go