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Indiana Free Printable  for 2021 Indiana Affidavit for Reinstatement of Foreign Corporation

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Affidavit for Reinstatement of Foreign Corporation
Form AD-19(2)

AD-19 (2) Indiana Department of Revenue State Form 49707 (R4 / 8-19) Affidavit for Reinstatement of Foreign Corporation State of __________________ ) ) SS County of ________________ ) _________________________________________________ being duly sworn according to law, affirms that he/she is the (name) ____________________________ of _______________________________________________ a corporation organized (official capacity) (corporation name) under the laws of the State of _______________________, ________/______/______ , authorized to do business in the (incorporation date) State of Indiana, _______/_____/______ with its principal office located at address _____________________________ (date authorized) __________________________________ , city _________________________ , state _________ , ZIP_____________ , and identified by Federal Employer Identification Number_________________________________ , and Indiana sales / withholding tax account number (TID # )_________________________________, and that he/she makes this affidavit for and on behalf of this corporation. He/She states that the books and records of this corporation are kept at ____________ _________________________________________________________, in care of ______________________________ (address) (name) That this corporation is engaged in the business of _______________________________________________________. (primary purpose) To the best of my belief and knowledge, all of the said corporation’s Indiana taxable income received on and after May 1, 1933, has been included in Indiana income tax returns filed with the Indiana Department of Revenue and that all tax has been paid. The last Indiana income tax return was filed for year ending _____/_____. The latest sales and/or withholding (month) (year) tax return(s) were filed on for period ending _____/______ , under ___________________________________________. (month) (year) (name) That this affidavit is made for the sole purpose of inducing the Indiana Department of Revenue to issue a notice, as provided under the applicable taxing acts, to the effect that such corporation has paid all taxes due which will permit the Indiana Secretary of State to reinstate the corporation to active status as authorized to do business in the State of Indiana. _____________________________________ Signature State of __________________ ) ) SS County of _________________ ) _____________________________________ Title Subscribed before me, a Notary Public in and for said county and state, this _____ day of ______________,_________ . (month) (year) ___________________________________________ __________________________________________________ ___________________________________________ __________________________________________________ Commission Expiration Date County / State of Residence Signature Printed Name Mail to: Indiana Department of Revenue, Titles & Clearances Division, P.O. Box 6197, Indianapolis, IN 46206-6197.
Extracted from PDF file 2019-indiana-form-ad-192.pdf, last modified June 2019

More about the Indiana Form AD-19(2) Other

We last updated the Affidavit for Reinstatement of Foreign Corporation in March 2020, and the latest form we have available is for tax year 2019. This means that we don't yet have the updated form for the current tax year. Please check this page regularly, as we will post the updated form as soon as it is released by the Indiana Department of Revenue. You can print other Indiana tax forms here.


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Other Indiana Other Forms:

TaxFormFinder has an additional 69 Indiana income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
Form 103-Short Business Tangible Personal Property Return
Form 104 Business Tangible Personal Property Return
Form 43709 Statement of Mortgage or Contract Indebtedness for Deduction from Assessed Valuation
Form 103-Long Business Tangible Personal Property Assessment Return
Form 102 Farmer's Tangible Personal Property Assessment Return

Download all IN tax forms View all 70 Indiana Income Tax Forms


Form Sources:

Indiana usually releases forms for the current tax year between January and April. We last updated Indiana Form AD-19(2) from the Department of Revenue in March 2020.

Show Sources >

Historical Past-Year Versions of Indiana Form AD-19(2)

We have a total of nine past-year versions of Form AD-19(2) in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2018 Form AD-19(2)

AD-19 (2) (10-10).indd

2017 Form AD-19(2)

AD-19 (2) (10-10).indd

2016 Form AD-19(2)

AD-19 (2) (10-10).indd

2015 Form AD-19(2)

AD-19 (2) (10-10).indd

Affidavit for Reinstatement of Foreign Corporation 2014 Form AD-19(2)

AD-19 (2) (10-10).indd

Affidavit for Reinstatement of Foreign Corporation 2013 Form AD-19(2)

AD-19 (2) (10-10).indd

2012 Form AD-19(2)

AD-19 (2) (10-10).indd

2011 Form AD-19(2)

AD-19 (2) (10-10).indd


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