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            NC-BN                                                             PRINT CLEAR
Web-Fill
12-18       Out-of-Business Notification

Account Information
SSN or FEIN

Account ID

Legal Name

Address

City                                             State                Zip Code

1. If permanently closed, enter the date closed.*

2. If a seasonal business has temporarily closed, fill in circle(s) for months business is open:

        Jan Feb  Mar    Apr May   Jun      Jul Aug Sep            Oct Nov Dec

        You must file returns for the months the business is open.

3. Fill in each circle for accounts that are seasonal or closed:
            All Business Accounts 
            Franchise and Corporate Income 
            Partnership 
            Sales and Use* 
            Withholding

            Other

*If you registered via the Streamlined Sales Tax Registration System, do not use this form.  Any updates must be made at www.sstregister.org.

Mail to:  North Carolina Department of Revenue, P.O. Box 25000, Raleigh, North Carolina 27640-0001
                            (Do not send this form with a tax return.)