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Vermont Department of Taxes PO Box 547 Montpelier, VT 05601-0547
Phone: (802) 828-2551 Fax: (802) 828-5787
VT Form *18B2A1100*
NOTICE OF CHANGE *18B2A1100*
B-2
This is not a return. Use for account changes only.
A Owner’s Name Federal ID Number
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 can 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, Page 1 of 1
5454 Rev. 12/18
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