CITY OF SAGINAW                                                S-6-IT
                                                      INCOME TAX OFFICE 
                                                         
                          NOTICE OF CHANGE OR DISCONTINUANCE 
 
 ACCOUNT NUMBER                                                 CHANGES EFFECTIVE ON (Date) 
  
 CURRENT LEGAL NAME                                             CHANGE LEGAL NAME TO 
  
 DBA                                                            CHANGE DBA TO 
  
 CURRENT LEGAL BUSINESS ADDRESS                                 CHANGE LEAGE BUSINESS ADDRESS TO 
  
 MAILING ADDRESS                                                CHANGE MAILING ADDRESS TO 
  
             Instructions: Place an “X” in all boxes that apply. Complete all information for that change. 
                                       Write any comments or explanation in back of form. 
                                                         
  1.  The Internal Revenue Service assigned us a Federal Employer Identification Number: _________________________ 
   
  2.  Our Federal Employer Identification Number is wrong. The correct Number is: _______________________________ 
   
  3.  We have incorporated. Our Corporate Name is: ________________________________________________________ 
   
  4.  Our new corporate Federal Employer Identification Number is: ____________________________________________ 
   
  5.  Discontinue our withholding tax registration: 
   
           • We no longer have any business activity in the City of Saginaw 
           • We closed our business on: _____________________________ 
           • We sold our entire business on: __________________________                
                          We sold our business to: 
                          ________________________________________________________ 
                          ________________________________________________________ 
                          ________________________________________________________ 
            
           • We sold part of our business on: ______________________        Their FEIN is: ________________________ 
   
  6.  Address and phone number where we may be reached following discontinuance of business: 
                                     
           CONTACT PERSON              STREET ADDRESS           CITY          STATE         ZIP CODE        PHONE 
   
  7.  Change in ownership. (Please explain on back) 
   
  8.  Effective _________________________, we changed our fiscal year ending from _____________ to _____________ 
                          Month/Year                                                                  Month                    Month  
    
  9.  Other Changes (Please explain on back) 
 
 SIGNATURE OF PREPARER                 PRINTED NAME OF PREPARER               DATE PREPARED                 PREPARER’S PHONE NUMBER 
                                          
      MAIL THIS NOTICE AND ANY CORRESPONDENCE TO: CITY OF SAGINAW INCOME TAX OFFICE, 1315 S. WASHINGTON AVE., SAGINAW, MI 48601-2599