Request For A Certificate Of Good Standing And/or Tax Compliance Or Waiver Of Corporate Tax Lien - Massachusetts Department Of Revenue
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2Massachusetts Department of Revenue
Request for a Certificate of Good Standing and/or
Tax Compliance or Waiver of Corporate Tax Lien
PO Box 7066, Boston, MA 02204; phone: 617-887-6367; fax: 617-660-3611
1. Applicant information
Name of applicant
Daytime phone number (with area code)
Street address.
Fill in if new address
City/Town
State
Zip
2. Taxpayer classification
Federal Employer or Taxpayer Identification number (required)
Entity filing a combined report. If filing a combined report, enter name and FEIN as shown on return:
Name of principal reporting corporation
FEIN of entity (required)
Entity taxed as C corporation
Entity taxed as S corporation
Entity is Disregarded (other than a sole-proprietorship). If Disregarded entity, enter FEIN of filing entity as shown on return:
Name of filing entity
FEIN of entity (required)
Nonprofit (tax exempt) organization (see instructions)
Entity taxed as a partnership
Entity taxed as an estate
Entity taxed as a trust
Entity taxed as a individual
Entity taxed as a sole-proprietorship (including LLCs tax as sole proprietorship). If entity is taxed as sole-proprietorship, enter name, SSN and FEIN:
Name of sole proprietorship
SSN of sole proprietorship (required)
FEIN (required)
3. Legal form of organization
Corporation
Limited Liability Company (LLC)
Partnership (including Limited Liability Partnership, Limited Partnership, or other unincorporated association)
Trust or estate
4. Purpose of application.
Fill in one only.
Certificate of Good Standing or Letter of Compliance
Certificate of Good Standing for a Nonprofit Organization (enclose required copy of IRS exemption certificate)
Certificate of Good Standing Relating to an ABCC Liquor License Tranfer or Operational/Administrative Changes
5. Reason for application
Corporate reinstatement after administrative dissolution from Secretary of State (domestic/foreign corporation doing business in Massachusetts)
Corporate reinstatement after administrative dissolution from Secretary of State (foreign corporation not doing business in Massachusetts)
Gaming
Liquor licenses
Lottery machines
Professional license renewal
Sale of business
Other (specify)
General information on page 2.
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Parent category: Financial