Transcription of 5156, Request for Tax Clearance Application
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5156, Request for Tax Clearance Application
Michigan Department of Treasury5156 (Rev. 05-15) Request for Tax Clearance ApplicationIssued under authority of Public Act 228 of 1975, as foR The RequesTI am selling my business or business assets. l Complete Part 1 and Part 4 ONLYI am closing my business and my business is registered as a corporation with the Michigan Department of Licensing and Regulatory Affairs. l Complete Part 1, Part 2, and Part 4 ONLYI have completed the sale of my business or business assets and require a tax Clearance Complete Part 1, Part 3, and Part 4 ONLYPART 1: GeneRAl InfoRmATIon To be completed by ALL Business or Corporation NameFEIN or TR NumberPrevious Business or Corporation NameAddressCityStateZIP CodePART 2: CoRPoRATe DIssoluTIon oR WIThDRAWAl To be completed by any business entity incorporated through the Michigan Department of Licensing and Regulatory Affairs (LARA).
legal business/corporation name. If the business is a sole proprietorship, enter the owner’s name here, with the last name first. Federal Employer Identification Number (FEIN) or Treasury Issued Account Number (TR): Enter the business’ IRS-issued FEIN or Treasury-issued TR number. Business Street Address/City/State/ZIP Code: Enter the
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