West Virginia Declaration of Final Business Activity (Close Business Account)

Declaration of Final Business Activity (Close Business Account)
Form BUS-FIN
STATE OF WEST VIRGINIA
State Tax Department, Tax Account Administration Div
P.O. Box 2666
Charleston, WV 25330-2666

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Name
Address

Account #:

City

State

BUS-FIN

Zip

DECLARATION OF FINAL BUSINESS ACTIVITY

REV 05/19

LAST DATE OF ACTIVE
BUSINESS IN WV
MM/DD/YYYY

BUSINESS REGISTRATION
ACCOUNT #

FEIN
(SSN For Sole Proprietor)

SECTION A: DESCRIPTION OF CEASED ACTIVITY
REASON FOR CLOSING ACCOUNT. Select one below

o
o
o

1. YOUR BUSINESS ACTIVITY WAS ONLY IN WV FOR A LIMITED TIME OR SINGLE EVENT. YOU WANT TO CLOSE ALL TAX ACCOUNTS FOR YOUR BUSINESS.

2. YOU CONSIDERED CONDUCTING BUSINESS ACTIVITY IN WV BUT NEVER ACTUALLY STARTED. YOU WANT TO CLOSE ALL TAX ACCOUNTS FOR YOUR BUSINESS.

3. OTHER. DESCRIBE: ____________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________

SECTION B: DESCRIPTION OF BUYER
IF YOU HAVE SOLD THE BUSINESS PLEASE PROVIDE THE FOLLOWING INFORMATION:
ID NUMBER OF BUYER

NAME OF BUYER

I
ADDRESS OF BUYER

CITY

STATE

I ZIP

EMAIL

SECTION C: SIGNATURE
I CERTIFY THAT THE INFORMATION PROVIDED ON THIS FORM IS TRUE AND CORRECT.
SIGNATURE OF APPLICANT

PRINT NAME

DATE

TITLE

SSN

EMAIL

atL099 v.18

Tax Account Administration Div n P.O. Box 2666 n Charleston, WV 25330-2666
(304) 558-8683 n www.tax.wv.gov