Closed or Sold Business Form
This form is only for businesses that have closed or been sold prior to January 1st. If you business closed or was sold after January 1st you are still responsible to file for this year.
What is your name? *
Your answer
What is the name of your business? *
Your answer
If known, please enter your account number.
Your answer
Please list a current phone number we may contact you at. *
Your answer
Did you close your business or sell your business?
Date your business closed or sold.
2018
2017
2016
January
February
March
April
May
June
July
August
September
October
November
December
If you sold your business, please indicate who purchased the business and their contact information.
Your answer
Please type your name as confirmation of this information.
Your answer
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