Form C-3479 - Taxpayer Account And Filing Information

Form C-3479 - Taxpayer Account And Filing Information - 1996

Michigan Department of Treasury; C-3479 (Rev. 9/96)

CHANGES EFFECTIVE ON (DATE)

ACCOUNT NUMBER

Check this box if you

TAXPAYER ACCOUNT and

have not received a

FILING INFORMATION

current set of SUW forms.

LEGAL BUSINESS ADDRESS

MAILING ADDRESS

CHANGE OUR LEGAL BUSINESS ADDRESS TO:

CHANGE OUR MAILING ADDRESS TO:

(If P.O. Box No. , you must include street address)

Your first return is due:

You are required to file:

NOTICE OF CHANGE OR DISCONTINUANCE

INSTRUCTIONS: Place an "X" in all boxes that apply. Complete all information for that change.

The Internal Revenue Service has assigned us a federal employer identification number

(FEIN)

Our federal employer identification number as shown is wrong. The correct number is

(FEIN)

Change in major business activity (explain on back).

We discontinued our entire business on

. Address where we may be reached following discontinuance of business:

(Date)

(Street)

(City)

(State)

(ZIP)

Purchaser's Name, Street, City, State, ZIP

We sold our entire business

TO:

(Date)

We sold part of our business

(Date)

Please add or delete the following taxes or licenses.

Add

Delete

Add

Delete

Add

Delete

sales tax license

income tax withholding

LPG dealer license

use tax registration

motor carrier license

gasoline wholesaler's license

single business tax

diesel dealer license

motor fuel tax license or exemption certificate

tobacco products tax license

We incorporated (if incorporating existing business, explain on back). Our corporate name is

(List DBAs or trade names and addresses

Our total number of business locations has changed to

for additional locations on back.)

(No. of Locations)

10.

We now open our seasonal business in

and close it in

(Month)

11.

Effective

, we have changed our fiscal year ending from

(Month/Year)

(Month)

12.

We operate under a name other than reported above

(Name)

13.

Other Changes - (eg: mergers, etc.) Please explain on back. Give new account number if applicable

SIGNATURE OF PERSON AUTHORIZING THIS CHANGE

DATE

PREPARER'S PHONE NUMBER

Mail this notice and any correspondence to: Registration Section, Michigan Department of Treasury, Lansing, MI 48922

Form C-3479 - Taxpayer Account And Filing Information - 1996

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