Form 508 - Withdrawing Corporation Property And Tax Certificate

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Michigan Department of Treasury
Reset Form
508 (Rev. 7-10)
Withdrawing Corporation Property and Tax Certificate
Federal Employer Identification Number (FEIN)
Name of Withdrawing Corporation
Corporate Identification (CID) Number
Street Address
Business Telephone Number
City
State
ZIP Code
The foreign corporation identified above desires to WIThDRAW from the State of Michigan.
In order to provide the Tax Clearance Section with the information necessary to properly process and issue the Tax Clearance Certificate
for Dissolution or Withdrawal (Form 506), the withdrawing corporation must certify the following:
PRIOR to withdrawal from Michigan
AFTER withdrawal from Michigan
This foreign corporation has in Michigan,
Yes
No
Yes
No
or will have in Michigan:
1. Property
2. Payroll subject to Michigan Income Tax
withheld from employees’ wages and salaries
3. Sales
AFTER obtaining dissolution of the foreign corporation from the Corporation Division (check the appropriate boxes):
Withdrawing corporation WIll CONTINuE to do business in Michigan. Such business does not constitute transacting business
within the provisions of the Business Corporation Act of Michigan.
Withdrawing corporation WIll CONTINuE to do business in Michigan, and the corporation hereby agrees that it will continue
to file (when due) all applicable Michigan tax returns and will pay the tax due.
Withdrawing corporation WIll NOT CONTINuE to do business in Michigan, and the corporation hereby agrees that it shall
furnish all applicable Michigan tax returns and payments, including final returns and payments, to the Michigan Department of
Treasury’s Tax Clearance Section before it issues Form 506.
Certification: I declare under penalty of perjury that I am the owner or authorized representative of the business on which this form is
being submitted and that the information entered is true.
Print Name
Title
Telephone Number (if different from business)
Date
Signature
When completed, return this form to:
Tax Clearance Section
Michigan Department of Treasury
P.O. Box 30168
lansing, MI 48909

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