Form 518 - Mesa Schedule C - Michigan Business Activity And Location Information Page 2

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3rd Michigan LOCATION
Owner, Partner of Corporate Name
DBA Name
Street Address (Do not use P.O. Box)
City, State, ZIP and County
Telephone
(
)
BUSINESS ACTIVITY (see explanation of question above)
COMPANY STATUS (see explanation of question above)
Yes
No
If YES, specify type of support function.
4th Michigan LOCATION
Owner, Partner of Corporate Name
DBA Name
Street Address (Do not use P.O. Box)
City, State, ZIP and County
Telephone
(
)
BUSINESS ACTIVITY (see explanation of question above)
COMPANY STATUS (see explanation of question above)
Yes
No
If YES, specify type of support function.
If questions arise in assigning appropriate Standard Industrial Classification (SIC) business activity codes or geographic codes for each
location in Michigan, who should we contact?
Name/Title _________________________________________________ Telephone (
) ______________________________
Attach this schedule to your Registration for Michigan Taxes and mail it to the Michigan
Department of Treasury. Your signature on that document is binding for all schedules.
12

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