Form Uia 1772 - Discontinuance Or Transfer Of Payroll Or Assets In Whole Part Page 2
Download a blank fillable Form Uia 1772 - Discontinuance Or Transfer Of Payroll Or Assets In Whole Part 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 Uia 1772 - Discontinuance Or Transfer Of Payroll Or Assets In Whole Part 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
1
2
3
4UIA 1772
(Rev. 06-15)
Page 2
4. Reason(s) for discontinuance or transfer of payroll or assets in whole or part (check one or more).
Sale
Reorganization
New Partnerships
Lease
Bankruptcy
Incorporation
Foreclosure
Dissolution/Discontinuance
No Employees
Merger
Death
Employee Leasing Company or Professional Employer Organization (PEO)
Client Entity terminated its contract with an employee leasing company or PEO
Other (explain):
5. Provide the following information:
a. Date of discontinuance of payroll in whole or part: ______________________
b. Date of last payroll: _______________________________
6. Provide the following information:
a. Number of business locations in Michigan: _____________
b. Number of business locations in Michigan that have been discontinued: ___________
c. Did you discontinue all employment in Michigan?
Yes
No
If not, how many employees were retained?
d. Have you continued or resumed business in Michigan?
Yes
No
If you answered yes, complete the section below if the information differs from what was provided in
question 1.
________________________________________________________________________________
Legal Name of Business
Address
________________________________________________________________________________
Nature of Business
Date(s) Resumed Business
7. Employer Leasing Company (ELC) or Professional Employer Organization (PEO) must provide
applicable information.
a. Was the client entity’s business discontinued?
Yes
No
Business name and FEIN of client entity: ___________________________________________
b. Business/mailing address of client entity: ___________________________________________
c. Number of employees leased to client entity immediately before the discontinuance or
transfer:_____
d. Gross payroll of client entity immediately before the discontinuance or transfer: _____________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal