Request For Letter Of Good Standing - Rhode Island Department Of Revenue Page 3
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5SECTION VI
Withdrawal due to merger in State of Incorporation
Withdrawal of corporation’s right to do business in Rhode Island through office of Rhode Island
Secretary of State
Requirements:
1. All tax returns administered by the tax division that are past due must accompany this request.
2. All the tax, interest and penalties balances must be paid.
3. Final RI Tax Return through date of request for withdrawal.
4. Copy of Federal Tax Return.
5. Any liability reflected on this final return must be paid.
SCHEDULE A
List the name, identification numbers and percent of ownership for all Shareholders or Members of all
Pass-Through Entities (Subchapter S Corporations, LLC’s and Partnerships). If the Shareholder or
Member of the Pass-Through Entity is another Pass-Through Entity, you must attach a schedule of their
Shareholders or Members.
Identification
Percent of
Check if
Name
Number
Ownership
Nonresident
Attach additional schedule(s) if more space is needed.
CONTACT INFORMATION
Person to contact for Additional Information
Name
Telephone Number
Address
MAILING INFORMATION
Person to mail request to if different than Contact Information
Name
Telephone Number
Address
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Parent category: Financial