Form Kw-16 - Change Of Corporate Officers And Directors
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1KW-16
CHANGE OF CORPORATE OFFICERS AND DIRECTORS
(Rev. 9/99)
NAME AND ADDRESS OF CORPORATION
FEDERAL IDENTIFICATION NUMBER
It is your responsibility to inform the Kansas Department of
Revenue of any change of corporate officers or directors.
the back of this form must be completed to insure that
Kansas withholding files are up to date.
TELEPHONE
Comments:
(
)
-
I certify this information is correct.
Signature
Date
Title
Resigning Officer
Title
Date of
New Officer
Social Security
Effective
or Director
Resignaltion
or Director
Number of New
Date
Officer or Director
PLEASE TYPE OR PRINT
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Parent category: Financial