Michigan Department of Treasury 163 (Rev. 07-19)
Notice of Change or Discontinuance
Use this form only if you discontinued or made changes to your business. Complete all sections that apply. Changes provided on this form may also be completed electronically at mto.treasury.michigan.gov. If using this form, sign and mail to: Michigan Department of Treasury, Registration Section, PO Box 30778, Lansing MI 48909.
PART 1: BUSINESS INFORMATION
Account Number (FEIN or TR No.) required Business Phone Number
PART 2: BUSINESS NAME/ADDRESS CHANGES
Check all boxes that apply below. If reporting a discontinued business, check “Change Legal Address” below, complete the “New Legal Address” field,
and complete Part 3 as applicable.
New Business Name
Change Business Name
New Legal Address (If a discontinued business, enter contact address for all business-related correspondence)
Change Legal Address
New Mailing Address
Change Mailing Address
PART 3: BUSINESS SALE OR CLOSURE
Effective Date of Discontinuance |
REMINDER: If discontinuing a business, the business owner is obligated to timely file all final returns for the year. If |
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discontinuing a business on behalf of a deceased taxpayer, a copy of the death certificate is required with this form. |
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Close Entire Business |
With the exception of IFTA, Motor Fuel, and Tobacco Tax, checking this box registers a discontinuance of all Michigan |
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taxes related to this business. Complete the “Effective Date of Discontinuance” field at left. Do not complete Part 4. |
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Sell Part of Business |
Effective Date of Partial Business Sale (mm/dd/yyyy) |
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Sell Entire Business |
Effective Date of Entire Business Sale (mm/dd/yyyy) |
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Buyer Address (if known)
PART 4: ADDING OR DELETING A TAX TYPE
Effective Date of Change (mm/dd/yyyy)
Complete this section if the business is to remain open and only specific taxes need to be added or deleted from the business registration.
ADD DEL |
ADD DEL |
ADD DEL |
ADD DEL |
Payroll/Pension Withholding Tax — To add this tax, complete an “Application for Registration” (Form 518).
To add/delete Tobacco Products Tax licenses, call 517-636-4630. To add/delete IFTA licenses, call 517-636-4580. To add/delete Motor Fuel Tax licenses, call 517-636-4600.
PART 5: OTHER BUSINESS CHANGES OR INFORMATION — Check all that apply.
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Seasonal Open Date |
Seasonal Close Date |
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Change status to a seasonal business. Enter month numerically (for example, 08 for August). |
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NAICS Code |
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Add or update NAICS code. Go online to https://www.census.gov/eos/www/naics/ for codes. |
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Number of Business Locations
Change the number of business locations in Michigan. Enter updated number at right.
Change or correct Federal Employer Identification Number. Enter correct FEIN at right. |
Correct FEIN |
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NOTE: IRS written verification is required to change account numbers; include verification with this document.
PART 6: CERTIFICATION — ALL FIELDS BELOW MUST BE COMPLETED
I declare under penalty of perjury that the information on this form and attachments is true and complete to the best of my knowledge. I understand that by signing this form, I am certifying that I am authorized to make these changes on behalf of the business.
Taxpayer Title (required)
Taxpayer Signature (required)
•Attach to this form additional information and any relevant documentation explaining other changes (e.g. mergers and name changes) to your business. If this business was changed to a different ownership (LLC, Limited Partnership, Sole Proprietor, Corporation, or
Partnership) you must complete a new Registration for Michigan Taxes (Form 518), available at www.michigan.gov/taxes.
•To add or remove Owners, Officers, Partners or Representatives for the business, go to mto.treasury.michigan.gov.