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Michigan Department of Treasury
518 (Rev. 11-22)

                               STATE OF MICHIGAN

                MICHIGAN BUSINESS TAXES

                               Registration Booklet

                               For more information regarding Michigan Treasury 
                               Taxes, go to www.michigan.gov/taxes.



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                           Your Responsibilities Concerning Taxes
Federal, State and Local Taxes                                      (Form UIA 1027). The seller, seller’s real estate broker or other 
Employers must register with the Internal Revenue Service (IRS)     agent must deliver the completed Form UIA 1027 to the purchaser 
and the Michigan Department of Treasury for Social Security tax     of the business at least two business days before the transfer of the 
(federal) and income tax withholding (federal and state). These     business. You may obtain this form at the UIA website at    www.
taxes must be withheld from each employee’s wages and paid          michigan.gov/UIA or by calling 1-855-484-2636. A            Disclosure 
to the appropriate taxing agency. Some cities also levy a city      of Transferor AccountForm( UIA 1346),provides the information 
income tax. Contact the City Treasurer’s office for information.    needed to complete Form UIA 1027 and may be obtained by calling 
Employers must report all newly hired employees. See the            the telephone numbers listed above. If the sale to the purchaser 
Michigan Income Tax Withholding Guide, visit the New Hire           results in the total transfer of the seller’s business, a Discontinuance 
Reporting website at http://mi-newhire.com or call 1-800-524-       or Transfer of Payroll or Assets in Whole or Part (Form UIA 1772) 
9846 for more information.                                          must be completed. This form can be obtained from the same 
                                                                    website referenced above.
Federal Unemployment Tax (FUTA)                                     Delinquent taxes owed to the Michigan Department of Treasury 
Most employers must pay federal unemployment taxes. Contact         must be paid with this registration. Submit a letter identifying the 
the IRS toll-free at 1-800-829-3676 for more information.           business name, address, Federal Employer Identification Number 
                                                                    (FEIN), type of tax being paid and the period(s) the tax was due. 
State Unemployment Insurance Tax
                                                                    Payment should include tax, penalty and interest owed. Go to the 
Employers must register with the Unemployment Insurance             website at www.michigan.gov/taxes.
Agency (UIA) and pay state unemployment insurance taxes. 
                                                                    Corporate officers may be held liable for Treasury tax debts 
Unemployment taxes are paid entirely by the employer. Employers 
                                                                    incurred by their corporations.
have an ongoing obligation to inform the Agency of any transfer 
of assets, organization, payroll, trade or business. Contact the    Delinquent collections. Treasury and UIA may both file tax liens 
UIA Tax Office at PO Box 8068, Royal Oak MI 48068-8068; in          against any taxpayer’s real and personal property and issue a tax 
Michigan, or out of state, call 1-855-484-2636 for account-specific warrant or levy to seize and sell the property to pay delinquent 
information. More information can be found on the Agency’s          taxes.
website at www.michigan.gov/UIA.                                    Successors  (buyer or acquirer of a business). If you buy or 
                                                                    acquire either an existing or discontinued business or its stock 
Workers’ Disability Compensation
                                                                    of goods, you can be held liable for tax debts incurred by the 
Most employers are required to provide workers’ disability          previous owner. You must withhold sufficient purchase money 
compensation  coverage  for  their  employees. A  workers’          to cover these tax debts until the previous owner produces a 
disability compensation policy is purchased from a private          receipt showing the taxes have been paid or a certificate stating 
insurance company. Contact the Workers’ Compensation Agency         that no taxes are due. This certificate may be obtained through 
at PO Box 30016, Lansing MI 48909, or call 517-322-1195 for         the Department of Treasury, Tax Clearance Section. Upon the 
more information.                                                   owner’s written waiver of confidentiality; under the Authorization 
Health and Safety Standards                                         for Disclosure section, at the bottom of page 2 of the Request for 
                                                                    Tax Clearance Appliation (Form 5156), Treasury will release 
Employers must comply with health and safety standards under 
                                                                    a business’s know tax liability for purposes of establishing an 
the federal and state Occupational Safety and Health Act (OSHA) 
                                                                    escrow account to a third party. The Tax Clearance Section can 
and the Right-to-Know laws. Contact the Michigan Licensing and 
                                                                    be reached at 517-636-5260.
Regulatory Affairs (LARA), MIOSHA, PO Box 30643, Lansing 
MI 48909-8143, or call 517-322-1845 for more information.           For unemployment tax purposes, a successor may be held liable 
                                                                    for tax debts or the experience account incurred by the previous 
Immigration Law Compliance                                          business. For more information, or to obtain clearance statements, 
Employers must  verify the employment eligibility of  all           call UIA Employer Ombudsman at 1-855-484-2636 or access the 
employees hired after November 6, 1986. Contact the Office of       Agency’s website at www.michigan.gov/UIA.
U.S. Immigration and Custom Enforcement at 313-568-6042 for 
forms and more information.                                                     --- IMPORTANT INFORMATION ---
                                                                               Use Tax on Rental or Leased Property
New Businesses
                                                                    You may elect to pay use tax on receipts from the rental or lease of 
Employers are required to file tax returns on time and with the     the tangible personal property instead of paying the sales or use tax 
correct payment when required. Employers are responsible for        on the full cost of the property at the time it is acquired.
the accuracy of the returns, regardless of who may be hired         If you elect to pay use tax on receipts from the rental or lease, you must 
to prepare them. Accurate and complete records must be kept         first obtain a Use Tax Registration before you acquire the property.
for determining tax liability properly, as required by law or       For additional information, contact the Michigan Department of 
department rule.                                                    Treasury at 517-636-6925.
Selling or transferring all or part of your business. Whenever                    Sales Tax for Concessionaires
you sell or transfer any part of the payroll, accounts, services or If you will make retail sales at only one or two events in Michigan per 
assets of a business covered under the Michigan Employment          year, do not complete Form 518. Instead, complete a Concessionaire’s 
Security (MES) Act, you must complete a Business Transferor’s       Sales Tax Return (Form 5089). This form can be found on Treasury’s 
Notice to Transferee of Unemployment Tax Liability and Rate                    www.michigan.gov/taxes or by calling 517-636-6925.
                                                                    Web site at 
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                Helpful Information for Starting a New Business
By reading and completing the Michigan Business Taxes Registration            Electrical ....................................................... 517-241-9320 
Booklet, you can register for any/all of the following business taxes         Boiler   ........................................................... 517-241-9334
and licenses:                                                                 Mechanical .................................................... 517-241-9325 
•  Sales Tax                                                                  Elevator ......................................................... 517-241-9337
•  Use Tax                                                                    Health Facilities ............................................ 517-241-4160 
•  Income Tax Withholding                                                     Long-Term Care Division ............................. 517-334-8408
•  Corporate Income Tax                                                       You may also contact your local library, chamber of commerce or 
•  Unemployment Insurance Tax.                                                the nearest Small Business Development Center for information 
State unemployment insurance taxes are paid to the Unemployment               about state licenses. You can reach the Michigan Small Business 
Insurance Agency (UIA). All other taxes are paid to the Michigan              Development  Center  Network  at  1-877-873-4567.  More 
Department of Treasury.                                                       information can also be found on the Network’s website at medc.
If you need a Motor Fuel License, call 517-636-4600. If you need              michigan.org. Also check with your county and city clerks for 
a IFTA license, call 517-636-4580. If you need a Tobacco Products             information about local licenses.
License, call 517-636-4630. The following are some suggestions of             Forms and Information
other places to contact for further help.
                                                                              New business forms can be found on Treasury’s website at 
Determine Your Business’s Legal Structure                                     www.michigan.gov/businesstaxes or call 517-636-6925 to have 
Contact an attorney, accountant or other business professional to             forms mailed to you. If you need assistance or more information, 
determine the appropriate structure for your business. You may                contact the appropriate party listed below.
wish to contact the Michigan Licensing and Regulatory Affairs                 Registration: Call 517-636-6925.
(LARA), at 517-241-6470 for more information about starting a 
business.                                                                     UIA: In Michigan, call toll-free 1-855-484-2636. Questions may 
                                                                              also be faxed to 313-456-2130. For questions regarding a specific 
Register Your Business Name                                                   account number, call 1-855-484-2636. More information can also 
                                                                              be found on UIA’s website at www.michigan.gov/UIA.
Depending on the legal structure chosen, the business name may 
be registered with the local county clerk’s office or the State of 
Michigan. Sole proprietorships and partnerships should contact                Unemployment Insurance Agency - Tax Office
the county clerk’s office. Corporations, limited partnerships and 
limited liability companies (LLCs) should contact the Michigan                Employers may now register for a UIA Account Number us-
Licensing and Regulatory Affairs (LARA) at 517-241-6470.                      ing an online e-registration application. 
Obtain a Federal Employer Identification Number (FEIN)                        The process is easy, secure, convenient and much faster than 
                                                                              registering by mail. After completing the online registration, 
This number is issued by the IRS and is required if you will have 
                                                                              you can receive your new UIA Account Number in as little 
employees. It is also mandatory for your UIA registration. If you 
                                                                              as three days. Longer, though, for a registration with a future 
do not have an FEIN, contact the IRS at 1-800-829-3676 to request 
                                                                              date, which is not processed until the date that you meet the 
Form SS-4. You can also obtain Form SS-4 at the IRS website at 
                                                                              liability threshold.
www.irs.ustreas.gov/formspubs/index.html. When you have 
completed the form, you may call 1-800-829-4933 and provide                   www.michigan.gov/UIA
the information from the form to the agent. The agent may assign 
your FEIN while you are on the telephone. To complete your FEIN 
registration, mail the form to the address shown on the form or 
fax it to 1-829-292-5760.                                                            Unemployment Insurance Agency - Tax Office
Obtain Special Licenses                                                       Whenever you contact UIA for assistance, please have your 10-digit 
                                                                              UIA Account Number, or if you do not have a UIA Account 
Some occupations, professions and business activities require                 Number, then have your Federal Employer Identification Number 
certification or licensing at the state or local level. An abbreviated        (FEIN) available. The Tax Status section processes requests to 
list of state licensing contacts is provided below.                           register a new business, the sale or discontinuance of a business, 
Department of Agriculture                                                     or seasonal designation. The Tax Maintenance section handles tax 
                                                                              rates, overpayments, and 940 certifications. Contact Tax Collections 
Food Service................................................ 1-800-292-3939   about assessments, payment plans and tax liens at 1-855-484-2636, 
Michigan Licensing and Regulatory Affairs (LARA)                              and choose Option 6.

Health Services ............................................. 517-335-0918    Team                              Email Address
Commercial Services .................................... 517-241-6470         Tax Status                        EmployerLiability@Michigan.gov
Insurance Bureau ............ 517-373-0220 or 1-877-999-6442                  Tax Maintenance             TaxSupport@Michigan.gov
Liquor Control Commission ......................... 517-322-1345
Plumbing ....................................................... 517-241-9330 

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                                        Registration for Michigan Taxes
It is important that you complete all items on the Registration form. Incomplete or inaccurate information will delay 
processing and in some cases may subject you to a penalty. Read all instructions carefully before you begin. 
This form is provided under PA 122 of 1941 and the Michigan           Register for Corporate Income Tax if you:
Employment Security Act. Filing is mandatory if you are               •   Have apportioned or allocated gross receipts greater than 
required to pay business taxes in Michigan.                              $350,000 (with the exception of insurance companies and 
Complete this Registration Form if you:                                  financial institutions).
•  Start a new business or reinstate an old business.                 For more information regarding business taxes, visit Treasury’s 
• Purchase or acquire an existing business.                           website at www.michigan.gov/taxes or call 517-636-6925.
•  Need to register for any of the Michigan taxes listed below.       Register for Motor Fuel Tax if you:
•   Change the type of ownership of your business (e.g., change       •    Operate a terminal or refinery for gasoline, diesel or aviation 
  from sole proprietorship to partnership, or incorporate a sole         fuel or import from a foreign country.
  proprietorship or partnership). Submit to the Unemployment          •  Transport fuel across a Michigan border for hire.
  Insurance Agency documents for changes in ownership,                •  Are a position holder in a fuel terminal.
  management or control, or change in management through              •  Sell diesel fuel for use in watercraft.
  arm’s-length transactions.                                          •  Sell LPG for highway use.
Do not complete this Registration Form if you:                        •  Sell aviation fuel for resale.
•   Make  sales  at  fewer  than  three  events  in  Michigan  during   For more information regarding Motor Fuel Tax, visit Treasury's 
  a  calendar  year.  Instead,  file  a Concessionaire’s Sales Tax    website at www.michigan.gov/taxes or call 517-636-4600.
  Return and Payment (Form 2271).                                     Register for IFTA Tax if you:
•   Wish to apply for an ID number for your bank account. Use         •   Operate a diesel-powered vehicle for transport across 
  your Social Security number for this purpose.                          Michigan’s borders, having three or more axles, or having 
Register for Sales Tax if you:                                           two axles and a gross vehicle weight over 26,000 pounds.
•   Sell tangible personal  property to the  end user from a          For more information regarding IFTA Tax, visit Treasury’s website 
  Michigan location (wholesalers do not need to register).            at www.michigan.gov/IFTA or call 517-636-4580.
For more information regarding Sales Tax, go to       www.            Register for Tobacco Products Tax if you:
michigan.gov/businesstaxes or call 517-636-6925.                      •  Sell cigarettes or other tobacco products for resale.
                                                                      •    Purchase any tobacco products from unlicensed out-of-state 
Register for Use Tax if you:
                                                                         sources.
• Lease tangible personal property in Michigan.
                                                                      •   Sell cigarettes or other tobacco products in a vending machine.
•  Sell telecommunication services.
                                                                      For more information regarding Tobacco Tax, go to at        www.
• Provide transient hotel or motel room rentals.
                                                                      michigan.gov/tobaccotaxes or call 517-636-4630. If, after 
• Buy  goods  for  your  own  use  from  out-of-state  unlicensed 
                                                                      reviewing your registration, Treasury determines that you need to 
vendors.
                                                                      file a Tobacco Tax License, you will be contacted with instructions 
•   Launder  or  clean  textiles  under  a  sole  rental  or  service on how to apply for a license.
  agreement with a term of at least five days.
                                                                      Register for State Unemployment Tax if you:
  For more information regarding Use Tax, go to www.michigan.
                                                                      •  Have employees performing services in Michigan.
gov/businesstaxes or call 517-636-6925.
                                                                      •    Plan  to  have  employees  working  or  performing  services  in 
Register for Employer and Retirement Withholding                         Michigan.
Tax if you:                                                           •   Have acquired all/part of the payroll, accounts, services or 
•   Are an employer withholding federal income tax from employee         assets of a business having employees in Michigan. 
  compensation (see Federal Employer’s Tax Guide Circular E).         All employers must complete a    Liability Questionnaire    (UIA 
•   Effective January 1, 2012, Michigan's tax treatment of pension    Schedule A) and a Successorship Questionnaire (UIA Schedule B).
  and  retirement  benefits  changed  and  these  benefits  will  be  Visit Treasury’s website at www.michigan.gov/Taxes or the 
  subject to income tax for many recipients. Michigan law now         UIA’s website at www.michigan.gov/UIA for more information.
  requires the administrators of pension and retirement benefits 
                                                                      For specific information regarding missing UIA payments, 
  to withhold income tax on payments that will be subject to tax.
                                                                      reports, penalties, and/or interest, call 1-855-484-2636 in 
For more information regarding Withholding Tax, go to www.            Michigan. Be sure to have your UIA Account Number, or if you 
michigan.gov/businesstaxes or call 517-636-6925. Individual           do not have a UIA Account Number, then have your Federal 
owners and partners may not remit withholding on their wages          Employer Identification Number (FEIN) number.
through their business account numbers. They must file quarterly 
income tax estimates. For information about quarterly estimates,      Mailing Instructions
call 517-636-4486.                                                    Mail your completed registration and UIA schedules to:
                                                                         Michigan Department of Treasury
Corporate Income Tax                                                     PO Box 30778
Michigan's Corporate Income Tax (CIT) imposes a 6 percent                Lansing MI 48909
income tax on entities that are treated as C Corporations for federal Mail your application at least six weeks, but not more than three 
income tax purposes. Insurance companies and financial institutions   months, before you intend to start your business to allow your 
pay special taxes.                                                    registration to be processed. Treasury will forward your application 
3                                                                     to UIA.



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Instructions for Completing Form 518, Registration for Michigan Taxes
Treasury will mail your personalized Sales, Use and Withholding                    Social Club or Fraternal Organization ............................80   
Tax returns. UIA will issue your unemployment account number.                      Any Other Type of Business ...........................................90 
Lines not listed are explained on the form.                                       Line 8, Michigan Licensing and Regulatory Affairs (LARA) 
Reason for This Application. Check the reason why you are                         Corporate ID Number. This item is only applicable if you have a 
completing this application. If more than one reason applies, in                  Michigan business entity. A non-Michigan entity will not be issued 
most cases, check all that apply. The sole exception arises if you                a LARA Corporate ID number.
are registering for withholding on an employee payroll, and for                   Line 9, Business Code. Locate the six-digit code that best describes 
withholding on pension payments to retirees, and one of those                     your business on the list of North American Industrial Classification 
will be performed by a third party (e.g., a payroll service). In that             System (NAICS) codes found at: http://www.census.gov/eos/www/
case, file a separate Form 518 for the each of the two functions, so              naics. Enter that code on Line 9. You must supply a NAICS code.
as to identify clearly which party (taxpayer or payroll service) is               Line 10, Business Activity. Briefly describe the specific business 
handling each function.                                                           activity or affairs the business will be transacting or conducting 
Line 1, Federal Employer Identification Number (FEIN). The                        in Michigan.
Internal Revenue Service (IRS) issues the FEIN. If you need an                    Line 11, Products You Sell. Briefly describe what products you 
FEIN, contact the IRS at 1-800-829-3676 and ask for Form SS-4,                    will sell to the final consumer.
or visit the IRS website at www.irs.ustreas.gov/formspubs/index.
                                                                                  Lines 12 to 15, Taxes. Check the box for each tax type you expect 
html to download the form.
                                                                                  to pay. Indicate in the space next to each tax type the date your 
Line 2, Company Name.       If your company is a partnership or                   liability for that tax begins. For Sales Tax, Use Tax and Employer 
corporation, include the appropriate indicator in this box: LLP, LLC,             and Retirement Withholding, check the box that indicates how 
Corp, Inc, PC or LC. If your business is a sole proprietorship, enter             much each month you expect to pay of that tax. Please note that a 
the owner’s name here and the business name on line 3.                            C Corporation (or entity taxed federally as such) is required to pay 
Line 4, Legal Address. Enter the street address where your books                  the Michigan Corporate Income Tax if its apportioned or allocated 
and records are kept for audit purposes. You must also receive                    gross receipts exceed $350,000 in a year.
mail there.                                                                       Line 16, Unemployment Insurance Tax. If you will be paying 
Line 5, Mailing Address. This may be a Post Office box or any                     this tax, you should already have received an FEIN from the 
other address where you want business tax forms mailed.                           IRS. Be sure to enter this number on Line 1 and complete the 
Line 6, Physical Address. Enter the Michigan physical address                     attached Unemployment Insurance Agency (UIA) Schedule A and 
if the actual location of your business is different from the legal               Schedule B. If this is the only tax you will be paying, send these 
address, line 4.                                                                  forms and other requested documents to Unemployment Insurance 
                                                                                  Agency, Tax Office at:
Line 7, Business Ownership Type Code. Enter the business type 
code from the list below that precisely describes the business entity                  UIA                                     Or Fax to:
being registered.                                                                      PO Box 8068                             313-456-2130
                                                                                       Royal Oak MI 48068-8068
Sole Proprietorship ..........................................................10
Husband/Wife Proprietorship ..........................................20          Line 17a, Motor Fuel Tax. Check this box if your business will 
                                                                                  be selling motor fuel or if your business will include operation of 
Partnerships
                                                                                  a commercial vehicle transporting motor fuel. 
Limited Partnership (LP).................................................33
                                                                                  Line 17b, IFTA Tax. Check this box if your commercial vehicle 
General Partnership .........................................................30
                                                                                  qualifies for IFTA and you will have interstate travel.  
Limited Liability Companies (LLC)
                                                                                  Line 18, Tobacco Tax. Check this box if you will be selling tobacco 
Select a code based on how the LLC files its federal income tax                   products to other businesses or will be purchasing  untaxed tobacco 
Files federal tax as a sole proprietor (Form 1040) ..........35                   from an unlicensed source.
Files federal tax as a partnership (Form 1065)................36                  Line 19, Number of Locations. Enter the number of Michigan 
Files federal tax as a C Corporation (Form 1120) ............37                   locations that will need a Sales Tax License.
Files federal tax as an S Corporation (Form 1120S) .........38
                                                                                  Line 20, Fiscal Year. Enter the two-digit number that corresponds 
Wholly owned by another entity (not by an individual)
                                                                                  to the month in which you close your tax books. For instance, if 
and files federal tax as a disregarded entity on the
                                                                                  your tax year is from July to June, enter “06” for June.
owner’s return  ................................................................39
                                                                                  Line 21, Seasonal Business. Complete this only if your business is 
Corporation incorporated under Michigan law
                                                                                  not open the entire year. Enter two two-digit numbers corresponding 
Files federal tax as a C-Corporation (Form 1120) ..........40                     to the months your business opens and closes, respectively. For 
Files federal tax as a S-Corporation (Form 1120S) ..........41                    example, if your business is open from October to May, enter “10” 
Corporation incorporated under law of any other state                             on the first line and “05” on the second line. NOTE: Seasonal 
or country                                                                        businesses are required to file monthly returns for the months 
Files federal tax as a C-Corporation (Form 1120) ..........50                     that they are open.
Files federal tax as a S-Corporation (Form 1120S) ............51                  Do not submit this form solely for the purpose of making sales 
Trust or Estate (Fiduciary) ..............................................60      at only one or two events in Michigan per year. Instead, submit a 
Joint Stock Club ..............................................................70 Concessionaire’s Sales Tax Return (Form 5089). This form can be 
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found on Treasury’s website at www.michigan.gov/taxes, or you 
can call 517-636-6925 to have this form mailed to you.
Line 22, Payroll Service. This refers to you only if you contract with 
a company that prints payroll checks for your business (or processes 
EFT payments to your employees) and makes payments on your 
company’s behalf for income tax withholding. If you contract with 
such a company, you should access Michigan Treasury Online 
(MTO) at mto.treasury.michigan.gov to add this information or fill 
out an Authorized Representative Declaration (Power of Attorney)                     
(Form 151).This form can be found on Treasury’s website atwww.
michigan.gov/taxes, or call 517-636-6925 to have this form mailed 
to you. Do not check this box if you or your company produce your 
own paychecks for your employees and you hire an accounting 
firm that manages your payroll. If you do have a payroll service, 
provide its name so that Registration staff can assist you with this.
Line 23. If your business succeeds or replaces an existing business 
or businesses because of incorporation, purchase or merger, provide 
the names and account numbers of those previous business(es). 
Lines 28 to 31. You must supply at least one name. If there are more 
than four owners or partners (other than non-officer shareholders), 
attach a separate sheet of paper. 
NOTE: You must provide a signature certifying that the information 
provided on the form is true, correct and complete to the best of 
your knowledge and belief. 
Accepted Ownership Titles & Codes: 
All Types of LLCs
 Member ...................................................35, 36, 37, 38, 39
Sole Prop & Husband/Wife Partnerships
 Owner .......................................................................10, 20
All Types of Partnerships
 Partner/General Partner ............................................30, 36
Limited Partnerships
 General Partner ...............................................................33
All Types of Entities
 President
 Vice President
 Secretary
 Treasurer
 Chief Accounting Officer
 Chief Administrative Officer
 Chief Executive Officer
 Chief Financial Officer
 Chief Operations Officer
 Chief Restructuring Officer
 Compensation and Benefits Mgr
 Controller
 Director
 Employee Relations Mgr/Adv.
 Executive Director
 General Manager
 Human Resources Manager
 Of Counsel/Attorney
 Operation Director
 Resident Agent
 Superintendent
 Trust Executive

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                                                                                                                                Reset Form
Michigan Department of Treasury 
518 (Rev. 02-18)                                                                                                              Type or print in blue or black ink.

Registration for Michigan Taxes 
Check the reason for this application. If more than one applies, see instructions.
   Started a New Business                                Incorporated/Purchased an Existing Business                PEO: Client Level Reporting 
   Reinstating an Existing Account                       Acquired/Transferred All/Part of a Business                Report Wages After Total Transfer/Sale of Business
   Hired Employee/Hired Michigan Resident                Added a New Location(s)                                    Other (explain)_________________________ 
 1. Federal Employer Identification Number, if known           2. Company Name or Owner’s Full Name (include, if applicable, Corp, Inc, PC, LC, LLC, LLP, etc.). Required. 
            -
 3. Business Name, Assumed Name or DBA (as registered with the county) 

             4. Address for all legal contacts (street and number - no PO boxes)                                   Business Telephone 
  Legal 
  Address   City                                                                          State                     ZIP Code 
(Required) 
             5. Address, if different from Box 4, where all tax forms will be sent, unless otherwise instructed              If this address is for an accountant or  
  Taxpayer                                                                                                          other representative, attach Form 1488, 
                                                                                                                              Power of Attorney for UIA.
  Mailing   City                                                                          State                     ZIP Code 
  Address 
             6. Address of the actual Michigan location of the business, if different from above (street and number--no PO boxes). If NO Michigan address, check this box 
  Physical 
  Address   City                                                                          State                     ZIP Code 

 7. Enter the Business Ownership Type code from Page 4 (Required) .............................................................................7. 
    If your business is a limited partnership, you must name all general partners beginning on line 28. 
     If you are a Professional Employer Organization (PEO), give PEO License ID ______________________. 
 8. If you are a Michigan entity and line 7 is 35-39, 40, OR 41, enter your  
  Michigan Licensing and Regulatory Affairs (LARA) Corporate ID Number ....  8. 
        Check this box if you have applied for and not yet received your ID number. 
      Date of Incorporation _______________________  State of Incorporation_______________________ 
 9. Enter Business Code (NAICS) that best describes your business........................................ 9. 
    NAICS codes can be found at http://www.census.gov/eos/www/naics/ 
10. Define your business activity                                                     11. What products, if any, do you sell (sold to final consumer)?   

 Check the tax(es) below for which                      Date that liability will begin             Estimated monthly payment for each tax 
  you are registering.  At least one                    for each box checked at left.                              Required if box at left is checked. 
  box (12-15) must be checked.                           Month          Day               Year 
                                                                                                                    Annual    Quarterly                  Monthly 12.   Sales Tax.............................  12a. 12b.           Up to $62 $63 to $999                Over $1,000 

 13.   Use Tax................................  13a. 13b.           Up to $62 $63 to $999                Over $1,000 
 14.   Employer and Retirement 
        Withholding (See line 22.) ...  14a. 14b.           Up to $62 $63 to $999                Over $1,000 
 15.   Annual Gross Receipts                                                                                      Corporate Income Tax is required only if 
        over $350,000 (CIT) ............  15a.                                                       annual gross receipts in Michigan exceed 
                                                                                                                $350,000 with the exception of insurance 
                                                                                                                   companies and financial institutions.   
Check the box if these other taxes also apply: 
 16.   Unemployment Insurance Tax. Attach UIA Schedule A                         and UIA Schedule B. Corporations, LLCs, LLPs: Enclose a copy of your 
        Articles of Incorporation or Organization. You must complete all items on this form accurately and completely. Failure to 
        do so may subject you to the penalties provided under the Michigan Employment Security (MES) Act. 17a.  Motor Fuel. Treasury will review your registration and contact you for any additional information. 
 17b.  IFTA   Tax. Apply for a license first atwww.michigan.gov/IFTA. You may contact IFTA at 517-636-4580. 
 18.   Tobacco Tax. Complete line 27. Treasury will review your registration and will contact you for more information. 
 19. Enter the number of business locations you will operate in Michigan (Required) ................................................... 19. 
      If more than 1, attach a list and include each location’s name, address, city, state and ZIP code. 



- 8 -
518, Page 2 
 20. Enter the month, numerically, that you close your tax books (for example, enter 08 for August)............................                   20. 21. Seasonal Only: (Your business is not open continuously for the entire year) Seasonal filers are  
      required to file monthly returns for the months that you are open.   
      a. Enter the month, numerically, this seasonal business opens............................................................................   21a. 

      b. Enter the month, numerically, this seasonal business closes  ........................................................................... 21b. 
      NOTE: If you are registering to sell at only one or two events in Michigan per year, do not submit this 
      registration form. Instead, file a Concessionaire’s Sales Tax Return (Form 5089). This form can be obtained 
      on Treasury’s Web site at www.michigan.gov/taxes, or by calling 1-517-636-6925. 
 22.   Check this box if you use a payroll service that produces your payroll checks and sends income tax withholding payments 
        to the State and Federal Governments. Access Michigan Treasury Online (MTO) at         mto.treasury.michigan.gov or attach 
        Authorized Representative Declaration (Power of Attorney)  (Form 151). This form can be obtained on Treasury’s Web site at 
        www.michigan.gov/taxes, or by calling 1-517-636-6925. 
        Enter the name of your payroll service provider:_____________________________________________________________ 
 23. If you are incorporating an existing business, or if you purchased an existing business, list previous business names, addresses, 
      and FEINs, if known. 
       Previous Business Name and Address                                                      FEIN 

       Previous Business Name and Address                                                      FEIN 

24.   If you purchased an existing business, what assets did you acquire? Check all that apply.
         Land       Building                 Furniture and Fixtures Equipment Inventory  Accounts Payable     Goodwill                                          None 

25.   Motor Fuel Tax: (if you answer Yes to any of the questions below, see Web site www.michigan.gov/IFTA)                                          Yes         No 
        a. Will you operate a terminal or refinery?........................................................................................................25a.  
        b. Will you transport fuel across Michigan’s borders?   ......................................................................................25b.       
26.   IFTA Tax: (if you answer Yes to any of the questions below, see Web site www.michigan.gov/IFTA) 
        a. Do you own a diesel-powered vehicle used for transport across Michigan’s borders with three  
            or more axles or two axles and a gross vehicle weight over 26,000 lbs?    ....................................................26a.                   
        b. Will you transport fuel across Michigan’s borders?   ......................................................................................26b.       
27.   Tobacco Tax: (if you answer Yes to any of the questions below, see Web site michigan.gov/tobaccotaxes) 
      Do you intend to: 
      a. Sell cigarettes or other tobacco products for resale to other businesses?........................................................27a.                   
      b. Purchase any tobacco products from an out of state unlicensed source?    ........................................................27b.                   
      c. Sell any tobacco products in a vending machine?............................................................................................. 27c.       
Complete all the information for each owner (sole proprietor or member), partner, or corporate officer. For limited partnership you must 
list all general partners. For limited liability companies you must list all members. For corporations you must list all officers, but do not 
include shareholders who are not officers.   A signature is REQUIRED for each person listed in boxes 28-31. Attach a separate list if necessary. 
 I certify that the information provided on this form is true, correct and complete to the best of my knowledge and belief. 28. Name (Last, First, Middle, Jr/Sr/III)                        Title               Date of Birth         Phone Number 

 Driver License / MI Identification No.      Social Security Number Signature 

  29. Name (Last, First, Middle, Jr/Sr/III)                        Title               Date of Birth         Phone Number 

 Driver License / MI Identification No.      Social Security Number Signature 

  30. Name (Last, First, Middle, Jr/Sr/III)                        Title               Date of Birth         Phone Number 

 Driver License / MI Identification No.      Social Security Number Signature 

  31. Name (Last, First, Middle, Jr/Sr/III)                        Title               Date of Birth         Phone Number 

 Driver License / MI Identification No.      Social Security Number Signature 

Questions regarding this form should be directed to Treasury at 517-636-6925. Submit this form six weeks before you intend to start your 
business. MAIL  TO: Michigan Department of Treasury, PO Box 30778, Lansing, MI 48909. 



- 9 -
 UIA Schedule A - Liability  Questionnaire  
 Issued under authority of the Michigan Employment Security              Act   of 1936,   as amended, MCL 421.1 seq.et   Filing is mandatory for all employers.     You must 
 complete all items on this form accurately and completely.                   Failure to do  so   may subject you to     the  penalties   provided   under  the MES    Act. 
 
 UIA Account Number,   ifalready assigned                                                                                       Federal Employer Identification No.    (required) 
 
 An employing    unit becomes       liable to  pay   Michigan            unemployment taxes when the employing                unit meets any   of the following     criteria: 
 
    •     Pays $1,000 or more   in gross wages for covered employment in   a calendar year. 
    •     Employs one or more employees in           20              different weeks within a     calendar year. 
    •     Acquires all or part of an existing Michigan                   business. 
    •     Pays at least $1,000 in    cash, not including room and                 board, for domestic        service     within a   calendar quarter. 
    •     Pays at least $20,000   in cash, not including                 room and board, for agricultural        service within     a calendar quarter,OR 
          Employs at least 10 agricultural workers in                  each    of 20 different   weeks in   the  current or preceding     calendar       year. 
    •     Elects coverage under the terms of the                     Michigan  Employment Security        (MES) Act. 
    •     Is subject to federal unemployment tax. 
 
 When any  one of  the         above  criteria is    met, you  must  submit  Form 518,                  Registration for  Michigan        Taxes, and UIA  Schedule  A               -
 Liability  Questionnaire      and  UIA  Schedule  B  -  Successorship Questionnaire.                        You  must also  begin  quarterly              filing  of  Form  UIA 
 1028,   Employer's Quarterly W a ge          / Tax  Report.Unemployment taxes  are due and payable                              beginning   with the      first  calendar quarter 
 in  which   you  had     payroll. Due dates for tax                 and wage reports are April   25, July   25, October 25         and January      25. 
 Providing  inaccurate  or  incomplete   information  in                          this    Registration,   or   UIA      Schedules     A      or  B,  will  be   evidence         of 
 intentional misrepresentation  and may                           subject  you  to  the  civil  and/or  criminal  penalties  provided  in  Sections  54  and 
                                                                                                                                                                             
 54b of the Michigan Employment Security (MES) Act.                                                                                 Month            Day                Year 
 
 On what date did/will     you first employ     anyone in            Michigan? 
 
 Complete the    appropriate sections         below  according to the type                of employer being registered.             
 SECTION 1                                                                                                                          
 EMPLOYERS OTHER THAN AGRICULTURAL OR DOMESTIC/HOUSEHOLD                                                                            
 (See instructions to determine   if applicable)                                                                                   Month          Day                  Year
         If Agricultural, skip   to Section                    2. If Domestic/Household,skip   to Section 3.                        
         If you  have     had a gross  payroll  of $1,000  or  more within  a                    calendar  year,                    
         enter the date it was reached   or will     be              reached.                                                       
                                                                                                                                   Month          Day                  Year
         If  you have had 20 or      more       calendar weeks  in                which   one or more persons           
         performed  services  for  you  within       a  calendar year, enter  the  date the  20th 
         week  was  reached  or        will  be   reached.             The  weeks     do  not     have         to  be 
         consecutive nor the persons the        same. 
 
 If Employer is a NonProfit, a Governmental Agency / Indian Tribe/ Tribal Unit, a Federal Unemployment Tax Act (FUTA) Subjectivity, or   is 
 selecting Elective Coverage, then complete only one of the following four employer types below that best describes the business. 
 1. NONPROFIT EMPLOYERS 
    Nonprofit  organizations  finance         their unemployment  liability                  by  either (1) paying     unemployment  taxes  on        the   taxable    wages of 
    their employees (contributing) or  (2) making                        a  specific prior  election    to  reimburse    the UIA for any         unemployment benefits  paid         to 
    their  former  employees  (reimbursing).  A  nonprofit  organization                         that  does  not  elect  to  be  reimbursing          will  be,  by  default, 
    contributing. 
    To elect contributing status,     check     this box:                and skip paragraphs   A – D      below. 
    To elect reimbursing status, see paragraphs                      A – D. 
     A.   Nonprofit employers electing reimbursing                   status must provide      the UIA with a     copy    of the documentation from the Internal 
          Revenue Service (IRS) granting 501(c)(3) status. 
 
                Check this box if you      elect to  be a reimbursing             employer. Attach      a copy   of your IRS 501(c)(3) documentation. 
                Failure to check this      box  will result in the        establishment of your         liability   as a contributing employer. 
    B. If you are a nonprofit employer electing                      reimbursing  status, enter     $ 
         the amount (or estimate) of your gross annual                   payroll 
    C. Bonding   Requirements.                  Section   13a   of   the             Michigan   Employment   Security   (MES)   Act                   requires   that    nonprofit 
         employers  electing  reimbursing         status on            or after December  21, 1989, and that have, or expect  to have, a  gross                     payroll of        
         more  than  $100,000  during  any  calendar  year  must  notify                           the  UIA  of  that  fact  immediately  and  must              provide  a surety 
         bond,  irrevocable  letter  of  credit,  or   other  banking  device  approved  by  the  UIA,     anin                          amount     beto      determined by  the 
         UIA  to secure  the employer's         obligations  under  the MES  Act.  If you  exceed                       $100,000    in gross  payroll  in   a later  year,  you       
         are obligated to notify the UIA, and provide                the bond     at that time. 
     D.      If your organization   isfunded more    than 50              percent by   a grant, list the source and duration of the grant. 
             Source                                                                                                     Start Date                    End Date 



- 10 -
 Michigan Unemployment Insurance Agency 
 
 2.  GOVERNMENTAL AGENCIES, INDIAN TRIBES AND TRIBAL UNITS 
    Governmental  entities generally  reimburse                                unemployment  insurance benefits paid to   former employees  on                 a  dollar-for-dollar 
    basis unless they    elect to         make     quarterly          "contribution"   payments. 
                                                                                                                                                             
    A.     If you are   a governmental              agency, or Indian tribe or tribal unit,                                                                  
           identify the  type (i.e., city, township, commission, authority,                          tribe, etc.)                                            
                                                                                                                                                            Month         Day
 
    B.     Enter your fiscal year beginning date 
 
    C.           Check   this  box   if  you   elect   to  be  a                         contributing   employer.        Leaving  this  box  unchecked   will   result   in   the  
            establishment of your liability as   areimbursing employer. 
    D .     Indian   tribes   and   tribal   units   are   subject   to   the   same   bonding requirements as nonprofit employers (see Line 1C,  
            above).and must provide the amount (or estimate of their gross annual payroll here: 
 
 3. FEDERAL UNEMPLOYMENT TAX ACT (FUTA) SUBJECTIVITY.                                                Select this option ONLY if you     are      NOT liable for UIA taxes State 
    under any of the other employer types. 
 
     If you are already subject to            FUTA, enter the                  state, other than Michigan, where     you became   liable 
     Note:  "Subject  to FUTA"  refers  to filing  Form  940 with  the IRS.  If you are required  to file  Form                                  940  (FUTA) with  the  IRS  in      
     other states, you are required   tofile and pay                           state unemployment taxes in Michigan.      
 
 4. ELECTIVE COVERAGE.                    For employers who would not otherwise be liable for unemployment taxes, such as churches. 
 
          Check  this box if you  wish                     to elect  coverage          under the MES  Act. Approval   is subject to UIA  review; some  qualifiers 
          apply. Your election, if granted, will                   apply     to all your employees. Give        your  reason for  electing coverage in  the  space  
          provided  below.     If  you are an individual  owner                        or  partnership  electing     to cover  family   members,  specify their 
          relationship  to  the  owner  or  partners.  You may not elect coverage for your parents or spouse,                                    nor for your  child under the       
          age of 18.  Individual            owners               and  partners       cannot  elect coverage     for themselves.  You may not      elect  coverage  for 
          domestic  employment  below  the  statutory                                requirements  stated  above.  Election of coverage remains in effect for a 
          minimum of two  calendar years. 
 
 SECTION 2 
                                                                                                                                   
 2. AGRICULTURAL EMPLOYERS ONLY                                                                                                    
                                                                                                                                   
    A.     youIf   have  had      a total  cash                    payroll  of  $20,000  or  more  for  agricultural              Month               Day               Year
        services   performed   within      a  calendar  quarter                        in  either    the  current  or              
        preceding  calendar  year,  not  including                             room and board, enter  the date the                 
        $20,000 was reached or will be reached.                                                                                    
                                                                                                                                   
    B.  If  you   have   had   at  least  10   agricultural   workers  in  each   of  20   different                              Month               Day               Year
        weeks     thein    current  or  preceding                     calendar  year,  enter         the  date  the  20th          
        week 
        consecutive  was reached nor the  personsor  will be thereached. same.         The  weeks do not  have  to be              
                                                                                                                                   
 SECTION 3                                                                                                                         
 
 3. DOMESTIC/HOUSEHOLD EMPLOYERS ONLY                                                                                              
    A.  If  you  have  had  a  cash  payroll  of  $1,000  or  more  for  domestic                               services          Month               Day               Year
        within a  calendar quarter in  either                      the  current        or  preceding calendar year, 
        not including room  and board, enter  the date the $1,000  was                               reached or     will  
        be reached. 
 SECTION 4  
 ALL EMPLOYERS 
 Print Name  of Owner/Officer                                                                                        Signature of Owner/Officer  

 Title                                                     Telephone Number                  Date 

 Print Name  of Owner/Officer                                                                                        Signature of Owner/Officer  

 Title                                                     Telephone Number                  Date 

 Attach this schedule to Form 518,Registration for Michigan Taxes and mail it to the Michigan Department of Treasury. 



- 11 -
 518 Schedule   B (Rev. 11-07) 

 UIA Schedule B - Successorship Questionnaire 
 Issued under authority   of the MichiganEmployment Security Actof 1936, as amended, MCL 421.1 et seq. Filing ismandatory for employers. 
 
 You must  complete  all items on this form  accurately  and                  completely.  Failure  to           do  so may  subject      you  to  the penalties    
 provided under the Michigan Employment Security (MES) Act.  Attach additional sheets if necessary. 
 
 Successorship        Reporting     Requirement.           If  you   acquired   any   part   of  the  Michigan    assets,     trade  or   business   of  another 
 employer,  as     defined       in Part  3 of this  form,  by  purchase,   rental,  lease,  inheritance,  merger, foreclosure,  bankruptcy,  gift  or any           
 other  form  of  transfer,  you     must  provide  the         following   information.  If  you  made  multiple      acquisitions,  you  must  file      separatea  
 UIA  Schedule  B  for  each  acquisition  (photocopies  of  this  form  are  acceptable).                    If  you  made  no   acquisitions,  you  are  still 
 required  to  complete  this  schedule.               If  subsequent      completingto    this  registration  form,  you  transfer  the  assets  (by  sale     or 
 transfer),  organization  (payroll/employees),          trade  (customers/accounts),  or  business  (products/services),     inwhole  or     in  part,  to  a 
 new  or  previously  existing  business      inMichigan,  it  is           mandatory     that  you  notify  this     Agency  immediately        by  completing  an 
 additional Schedule B. 
                                                                                  
 UIA Account Number                                                               Federal Employer 
 (if already assigned)                                                           Identification No.  (required)  
 
 PART I:  QUESTIONS ABOUT PRIOR OR CURRENT BUSINESSFORMATIONS, ACQUISITIONSOR MERGERS 
 
 For each of the      following     five business  formation,  acquisition        or merger  types,  the  employer  must indicate         the pertinent  business 
 name, address and UIA Account Number in                 the space provided. 
 1.  In the past 6 years, have you formed, acquired or merged with a business by                                     any      means?If no, check box        and 
     continue.  If  yes, provide the following: 
                                                         Business Name and Address                                                              UIA Account Number 
                                                                                                                                           
 a.     If you formed   a new       business, what did       you acquire    from the previously     existing  business?       (check all that apply) 
             Land            Buildings      Furniture/Fixtures              Equipment     Inventory               Accounts Receivable              Goodwill
             Employees              Trade      Customer Accounts                 None  
     b.  If you purchased, acquired or merged with             an existing  business   by any   means (including       lease), what assets    did you acquire? 
         (check all  that apply)  
             Land            Buildings      Furniture/Fixtures              Equipment     Inventory               Accounts Receivable              Goodwill
             Employees              Trade      Customer Accounts                 None  
     c.    What was the business activity      of the previous business? 
 
 2.  At the current time, are             you forming or acquiring a business by                  any   means?If no, check box            and continue, If yes, 
     provide the following: 
                                                         Business Name and Address                                                              UIA Account Number 
                                                                                                                                           
     a.   If you formed   a new business, what did         you acquire      from a previously  existing business?         (check all that apply) 
             Land            Buildings      Furniture/Fixtures              Equipment     Inventory               Accounts Receivable              Goodwill
             Employees              Trade      Customer Accounts                 None  
     b.   If you are purchasing or acquiring         an  existing business by     any means (including        by lease), what assets are      you acquiring? 
         (check all  that apply)  
             Land            Buildings      Furniture/Fixtures              Equipment     Inventory               Accounts Receivable              Goodwill
             Employees              Trade      Customer Accounts                 None  
     c.    Will any owner or owners         of the previous business continue to      operate or manage the       business being registered        by this form? 
             Yes        No   If yes, provide   name, title and business address below. 

 d.  What        was the business activity     of the previous business? 

 e.    What      will be the business       activity, if any, of the previous business after the new          business    being registered   is formed? 
 
        f.  What  will be the business      activity  of the new   business being registered      by   this form? 



- 12 -
 Michigan Unemployment Insurance Agency 
 518 Schedule B, Page 2 
 
 PART I:      QUESTIONS ABOUT PRIOR OR CURRENT BUSINESS FORMATIONS, ACQUISITIONS OR MERGERS (continued) 
 
 3. At the current time, are       youincorporatingan existing business entity?               If no, check box    and continue.  If yes provide the 
     following: 
                                                    Business Name and Address                                                     UIA Account Number 
                                                                                                                              
     a.   What was the   business activity of the   business entity you are   incorporating? 
 
     b.   What will be the business   activity   of the new business being registered by this form? 
 
 4.  At the current time, are you merging, by any means, with one or more business entities?                         If no,  check box        and 
     continue.  If  yes, provide the following: 
                                                    Business Name and Address                                                     UIA Account Number 
                                                                                                                              
    a.     If you are purchasing or acquiring an existing    business by merger, what are    you acquiring? (check   all that apply) 
              Land       Buildings      Furniture/Fixtures         Equipment      Inventory      Accounts Receivable              Goodwill
              Employees       Trade      Customer Accounts            None  
 
     b.   If you are forming a new business, what are   you acquiring   from a previously existing business? (check      all that apply) 
              Land       Buildings      Furniture/Fixtures         Equipment      Inventory      Accounts Receivable              Goodwill
              Employees       Trade      Customer Accounts            None  
 
     c.    Will any owner or owners   of the merging business continue   to operate or manage the    business being registered    by  this form? 
             Yes         No   If yes, provide name, title and business address    below. 

    d.    What   was the business activity of the merging    business? 

    e.    What   will be the business activity   of the continuing business being registered by this form? 
 
 5.  Are you intending   toform a business at a         future time, by any       means? 
 
             Yes         No
 
     If yes, please  explain: 



- 13 -
 518 Schedule B, Page 3                    
 
 PART II:   FORMER OWNER INFORMATION 
 Former Owner's Name                                                                                         Former Owner's UIA Account Number or FEIN, if known. 

 Corporate Name   or DBA                                                                                     Area Code   &Telephone Number  

 Current  Street Address (not              a P.O. Box) 

 City, State,  ZIP  

 PART III:                         ACQUISITIONINFORMATION 
 
                                                                                                                      What Percent?     Date Acquired              
 1.                         Did you acquire all, part, or none  of the assets of any                                                                               
                            former business    ?                                                   All       Part                   %                             None  
 
 2.                         Did you acquire    all, part, or none  of the organization 
                            (employees/payroll/personnel) of any former business? 
                                                                                                    
                                                                                                                      What Percent?     Date Acquired 
                            a.  If all or part, indicate  the percent and date acquired.           All       Part               %                                 None 
                            b.   Did you acquire    all or part of the 
                                employees/payroll/personnel of any former business 
                                by leasing any   of those    employee/payroll/personnel?           Yes       No   (If yes, provide   a copy  of your lease agreement) 
 
                                            all, part, or none of the                                                 What Percent?  Date Acquired                 
                         3.  Did you acquire                              trade 
                                                                    former business?                                                                                
                            (customers/accounts/clients) of any                                    All       Part               %                                  None 
                                                                                                                                         
                         4.  Did you acquire all, part, or none of the former owner's                                 What Percent?  Date Acquired 
                            Michigan business (products/services) of any former                    All       Part               %                                 None 
                            business?                                                                                   
                                                                                                                       Month             Day               Year
                         5. Was the Michigan business described   in 1-4     above being            
                            operated at the time    of acquisition?   If no, enter the date        Yes       No 
                             it ceased  operation.                                                  
                                                                                                    
                         6.  Are you conducting/operating the      Michigan  business  you         Yes       No 
                             acquired? 
                                                                                                    
                         7.  Is your Michigan business substantially owned      or                  
                             controlled in any  way by    the same interests that owned             
                             or controlled the  organization, business or assets of a              Yes       No 
                             former business? 
 
                         8.  Did you hold any secured interest in any of    the  
                             Michigan assets acquired?                                             Yes       No  If yes, enter balance owed           $ 
 
                         9.  Enter the reasonable value of the     Michigan organization, 
                             trade, business  or assets acquired?                                $ 
 
 Providing   inaccurate   or   incomplete   information  in  this  Registration,                       or  UIA  Schedules       A  or   B,  will   be  evidence      of 
 intentional  misrepresentation                            and  may    subject  you  to  the  civil  and/or  criminal  penalties  in  Sections  54  and  54b  of  the 
 Michigan Employment Securities  (MES) Act.  
 
 Print Name   of Owner/Officer                                                                         Signature of Owner/Officer/Authorized Agent 

 Title                                                        Telephone Number              Date 

 Print Name   Owner/Officerof                                                                          Signature of Owner/Officer/Authorized Agent 

 Title                                                        Telephone Number              Date 

 Attach this schedule to Form 518,Registration for Michigan Taxes and mail it to the Michigan Department of Treasury. 






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