Form 92-033 - Request For Change, Correction, Cancellation, Or Reinstatement Of Tax Permit
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1
2Iowa Department of Revenue
Iowa Business Tax Change
https://tax.iowa.gov
Request for Change, Correction, Cancellation, or Reinstatement of Tax Permit
Legal name on existing permit
Social Security Number (SSN)
Trade name on existing permit
Federal Employer Identification Number (FEIN)
Address on existing permit
City
State
ZIP
1. Change Legal and/or Trade Name
If your name change is due to a change in ownership, you must cancel your permit and apply for a new one. List the permit number
only for the tax types you are changing. Legal name is tied to all tax types. A trade name may be different for each business location.
Change Name For
Permit Number
Reason for change
Sales Tax
Verify FEIN
Consumer’s Use Tax
New legal name
Retailer’s Use Tax
Withholding Tax
New trade name
Fuel Tax
2. Change Location Address
Check the box and list the permit number only for the tax types you are changing.
Note: You need to cancel your sales tax and/or use tax permit(s) and complete a new application form if you are changing:
• location address from one Iowa county to another
• location address from Iowa to out of state
• location address from out of state to Iowa
Change Location For
Permit Number
Reason for change
Phone
Sales Tax
Consumer’s Use Tax
New location address
Must be a street address. DO NOT write PO Box.
Retailer’s Use Tax
Withholding Tax
Fuel Tax
3. Change Mailing Address
Check the box and list the permit number only for the tax types you are changing.
If you want a different mailing address for each tax type, include a separate sheet. Otherwise, the mailing address will be added to all
tax types for which you list the permit number.
Change Mailing For
Permit Number
New Mailing Address
Sales Tax
Consumer’s Use Tax
Retailer’s Use Tax
Withholding Tax
Fuel Tax
4. Change Filing Frequency
(if qualified)
For each tax type you need to change, check the appropriate box, provide the permit number, and check the frequency requested and
effective date. Note the following:
• Your filing history must meet the filing threshold for the requested filing frequency. Filing frequency information is available at
https://tax.iowa.gov under businesses and due dates.
• Changes to and from annual filing are effective January 1. Requests received after April 30 will take effect on January 1 of the
following year.
•
All other filing statuses may be changed at the start of a future calendar quarter. Check the quarter of the effective date.
Frequency Requested
Effective Date
Reason for Change:
(must check one)
(must check one)
Annual
Quarterly
Monthly
Semi-
Jan 1
Apr 1
Jul 1
Oct 1
Change Frequency For
Permit Number
(Jan1)
monthly
Sales Tax
Consumer’s Use Tax
N/A
N/A
Retailer’s Use Tax
N/A
Withholding Tax
N/A
Complete page 2 including signature
92-033a (07/14/15)
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Parent category: Financial