Notice Of Business Closure Or Sale Of Business
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1STATE OF ARKANSAS
NOTICE OF BUSINESS CLOSURE OR SALE OF BUSINESS
WITHHOLDING TAX
Account Information
FEIN:
Name of Business:
Address:
City, State, Zip:
Closure Information
Date of Closure:
Reason for Closing:
Business Discontinued
Business Transferred to Successor
Change in Organization. Note: If a NEW FEIN is obtained a NEW registration,
Form AR-4ER, must be completed.
Enter your new FEIN: ________________________
Discharged All Employees, but Continuing Business
Other (Specify) ______________________________________________
Items To Send With This Form
Final tax report and any delinquent reports
•
AR-3MAR and copies of employees W-2’s
•
Signature
Under penalties of perjury, I declare that I have examined the information above and to the
best of my knowledge and belief, they are true and complete.
Signature of Owner
Date
Phone Number
(R 04/06)
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Parent category: Financial