Form Pra-012 - Premier Resort Area Tax Return Page 2
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Taxpayer Information Changes
PRA-012 (R. 8-12)
Page 2 of 2
Resort Area
Bayfield
Eagle River
Lake Delton
Wisconsin Dells
(check appropriate boxes)
Business Discontinued Date:
MM
DD
YYYY
Please indicate reason for discontinuation:
Deceased
Merger with
Partner added
Formed LLC
Business did not materialize
Partner dropped
Incorporated
No taxable activity
Sold to
Other
(please explain)
Name Change
New Legal Name
New Business Name
Mailing Address Change
Street Address or PO Box
City
State
Zip code
Business Location Change
Street Address
City
State
Zip code
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Parent category: Financial