STATE OF RHODE ISLAND                TX-13 (Rev. 2/24)
                           Rhode Island Department of Labor and Training
                                                                EMPLOYER TAX DIVISION
                              1511 Pontiac Avenue, Cranston, RI 02920
                                   Telephone: (401) 574-8700, option 1
                                                                https://uitax.ri.gov

                EMPLOYER TERMINATION OF REGISTRATION REPORT

RI Registration Number: _____________________         Person in charge of  payroll:
Employer Name:___________________________          Name: ______________________________ 
Business address (street, city/town, state and zip):                     Payroll address (street, city/town, state and zip): 
Street:___________________________________                               Street:___________________________________ 
City/Town:________________________________                               City/Town:_______________________________ 
State: __________________ Zip code: _________                            State: __________________ Zip code: _________ 
Email: ___________________________________                               Payroll Email: _____________________________

Provide the following information concerning Owner, Managing Partner, President/CEO

Name: ____________________________________                               Title: ___________________________________
Home Address: ________________________________________________________________________
Telephone: ________________________                                      Email: __________________________________

Reason for Termination: Sale                                   Lease         Liquidation   Reorganization
                        Receivership   Bankruptcy   Merger                                 No Rhode Island Employees
                        Death of Owner: if so, was the business sold/transferred?  Yes   No

Date of last payroll: _____________________
What percentage of business was transferred (if applicable) ____________

A business that has purchased, leased or assumed assets (examples include physical assets, corporate 
name, work in progress, licenses, inventories, employees) of an already existing business is considered a 
New (Successor) Business. 
Did the reason for termination result in a New/Successor business? Yes   No  
If yes, please provide the following: 
Name of New (Successor) Business (if any) ____________________________________________
Address: ________________________________________________________________________
Email: __________________________________________________________________________

All applicable information on this form is necessary to close your Employer Tax account.

Date:_______________   Signature: ___________________________                           Title:______________________

                                                                THIS FORM MUST BE SIGNED

                      Please return completed form to the address on top of this form.
                           Telephone: (401) 574-8700 | Fax: (401) 574-8940
    An equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. TTY Relay via 711