Change Of Tax Account Information Form - City Of Huntsville Finance Department

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City of Huntsville
For Department Use Only
Date Received: _____________
Finance Department
System Updated: ____________
308 Fountain Circle P.O. Box 308 Huntsville, Alabama 35804
TP Confirmation: ____________
Phone (256) 427-5070 Fax (256) 427-5064
CT Office: _________________
CHANGE OF TAX ACCOUNT INFORMATION
Confidential
Use this form to report changes in your Huntsville Tax Account. Return completed form to the Finance Department for processing. For
changes to Huntsville Location Address or Business Structure, you must complete a new business license application.
___________________________________________________________________________________________________________
CURRENT INFORMATION
Provide information as it currently appears on your City of Huntsville taxpayer account.
Taxpayer Account Number:______________________ Federal ID Number: ______________________NAICS Code: _________________
Legal Name of Business:___________________________________ Trade Name (d/b/a):_________________________________________
Mailing Address:______________________________________________________________________Phone No.:____________________
Previous Legal Name: ___________________________________ Federal ID Number:_____________Secretary of State Entity ID:________
Effective Date of Change:_______________
NEW INFORMATION
Please indicate changes you would like to make by completing applicable sections below.
□
Change of Business Status
The business referenced above has closed or discontinued operations in Huntsville.
Date Business Closed: ______________________
If business was sold, provide the following information:
Name of Purchaser: _______________________________________________________________________________________________
Address of New Owner/Purchaser:____________________________________________________________________________________
City, State, Zip: ___________________________________________________________________________________________________
Phone/Fax:_______________________________________________________________________________________________________
Date Business Sold: ________________________
□
Change of Address
The mailing address for applicable tax forms has changed. The new address to which forms should be mailed is as follows:
Mailing Address _____________________________________ Location Address: ___________________________________________
City, State, Zip:______________________________________ City, State, Zip: _____________________________________________
Phone/Fax: ________________________/__________________________
Email:________________________________________________________
□
Change of Contact Information
Authorized Tax Representative:______________________________________________________________________________
(Person, Officer or Member responsible for reporting and/or receiving confidential tax information)
Phone Number:_________________________________
Fax Number: _________________________________________
Email:_________________________________________
□
Change Tax Return Filing Status
Filing Frequency
Tax Type
□
□
□
□
Monthly
Annual
Sales
Rental
□
□
□
□
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Quarterly
Occasional
Consumer’s Use
Seller’s Use
Lodging
□
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Gasoline
Tobacco
AUTHORIZATION TO REQUEST CHANGE OF TAXPAYER INFORMATION
___________________________________________________________________________
Date
Printed Name
Signature
Title
V2.032013

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