Form 518 - Registration For Michigan Taxes Page 5

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Michigan Unemployment Agency
Issued under authority of the Michigan Employment Security
518 Schedule B (Rev. 11-01)
Act of 1936. Filing is mandatory for successors.
UA Schedule B - Successorship Questionnaire
Successorship Reporting Requirement. If you acquired any part of the Michigan assets, organization, trade or
business of another employer by purchase, rental, lease, inheritance, merger, foreclosure, gift (or any other form of
transfer), you must provide the following information. If you made multiple acquisitions, you must file a separate
Schedule B for each acquisition (photocopies of Schedule B are acceptable).
Federal Employer Identification Number (FEIN, required)
UA Account Number, if already assigned
1. Former Owner Information.
B.
A.
Former Owner's Name
Former Owner's UA No. or FEIN, if known.
Corporate Name or DBA
C.
Area Code & Telephone Number
Current Street Address (not a P.O. Box)
City, State, ZIP
2. Acquisition Information.
Did you acquire all, part or none of the former
A.
Date Acquired
What
%
None
All
Part
percent?
owner's assets?
Did you acquire all, part or none of the former
B.
All
Part
None
owner's organization (employee, payroll/personnel)
Did you acquire all, part or none of the former
C.
owner's Michigan trade (customers/accounts)?
All
Part
None
Did you acquire all, part or none of the former
D.
owner's Michigan business (products/services)?
All
Part
None
If no, enter date closed by former owner.
Was the Michigan business being operated at the
E.
month
day
year
time of acquisition?
Yes
No
Are you conducting the Michigan business
F.
Yes
No
you acquired?
Is your Michigan business substantially owned or
G.
controlled in any way by the same interests that
Yes
No
owned or controlled the former business?
Did you hold any secured interest in any of the
H.
Yes
No. If yes, enter the balance owed $_______________.
Michigan assets acquired?
What was the reasonable value of the Michigan
I.
$____________________.
organization, trade, business or assets acquired?
Print Name of Owner/Officer
Title
Signature of Owner/Officer
Telephone No.
Date
Attach this schedule to your Form 518, Registration for Michigan Taxes and mail it to the Michigan
Department of Treasury.

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