Vermont Department of Taxes     PO Box 547     Montpelier, VT  05601-0547
Phone:  (802) 828-2551     Fax:  (802) 828-5787

  VT Form
                          NOTICE OF CHANGE
  B-2

                                  This is not a return.  Use for account changes only.
A Owner’s Name                                                                            FEIN or SSN 

  Business Name                                                                           VT Account Number

  Business Location Street Address

  Business Location City, State, ZIP Code 

B Check all appropriate boxes below and mail to us at the address above.
  Cancel Account                                         Tax Type         Account Number Date taxable activity discontinued (mmddyyyy)
If you are requesting a cancellation of a Sales and Use 
tax and/or Meals and Rooms tax account(s), please         Tax Type         Account Number Date taxable activity discontinued (mmddyyyy)
also enclose the tax license you were issued, or explain 
the absence of same below (i.e.: lost, destroyed, etc.).  Tax Type         Account Number Date taxable activity discontinued (mmddyyyy)
Licenses are not transferable to new owner or entity.
  Change Commence Date                                   Tax Type         Account Number Date taxable activity discontinued (mmddyyyy)
Use Section C to explain why the commence date            Tax Type         Account Number Date taxable activity discontinued (mmddyyyy)
changed.
                                                          Tax Type         Account Number Date taxable activity discontinued (mmddyyyy)

  Name, Address, Federal ID Number changed               NEW Name                                         NEW Federal ID Number

                                                          NEW Business Location

                                                          NEW Mailing Address

  Business sold                                          Business sold to                                 Date sold (mmddyyyy)

  Change of entity type                                  Change entity type from         Change entity type to 
  (Example: Sole Proprietor to Corporation)
You may use this form to cancel the original account, but you need to register the new entity by completing Form BR-400, Application for Business Tax 
Account.  Both forms may be mailed in the same envelope.
C EXPLANATION
Reason for requesting this change: _________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
D SIGNATURE
  I hereby certify that I have examined this return, and to the best of my knowledge and belief, it is true, correct, and complete.

  Signature of Officer                                                       Date 

  Printed Name of Officer                                          Title                  Telephone Number
                                                                                                                Form B-2 
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