Quarterly Sales/use Tax On Services Return - Massachusetts Department Of Revenue Page 2

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IF THIS IS A FINAL RETURN, INDICATE REASON:
BUSINESS DISCONTINUED
CHANGE IN ORGANIZATION
BUSINESS TRANSFERRED
BUSINESS SOLD
OTHER
LAST DATE OF BUSINESS
IF BUSINESS WAS SOLD OR ITS OWNERSHIP CHANGED, COMPLETE THE FOLLOWING:
NAME OF NEW OWNER
ADDRESS OF NEW OWNER
DATE OF TRANSFER
IF ANY OF THE FOLLOWING HAS CHANGED, ENTER NEW INFORMATION:
NAME OF BUSINESS
ADDRESS OF BUSINESS
FEDERAL IDENTIFICATION NUMBER
DATE OF CHANGE
6M 2/02 CRP0198
printed on recycled paper

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