Free Michigan 511 Template in PDF
The Michigan 511 form is an essential document for businesses seeking a tax status letter from the Michigan Department of Treasury. This form serves as a request for verification of a company's tax standing, which is crucial for various business transactions and compliance with state regulations. It requires specific information, including the current business name, Federal Employer Identification Number (FEIN), and Corporate Identification Number (CID). Additionally, businesses must provide their street address, city, state, and ZIP code, along with the date of incorporation and the state in which they were incorporated. If there have been any changes to the corporate name, these must also be documented. The form emphasizes the importance of accuracy, as the requestor must certify that they are authorized to make the request and that all provided information is true. This certification must be signed and dated, ensuring accountability. Once completed, the form should be sent to the Tax Clearance Section of the Michigan Department of Treasury for processing. For assistance, the department provides a contact number, ensuring that businesses can receive guidance throughout the process.
Form Example
Michigan Department of Treasury 511 (Rev.
Tax Status Letter Request
Issued under authority of Public Act 122 of 1941
IMPORTANT: A tax status letter does not constitute a certiicate of good standing issued by the Department of Licensing and Regulatory
Affairs and relating to annual corporate reports and privilege fees.
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Date |
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Current Business or Corporate Name |
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Federal Employer Identiication Number (FEIN) |
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Corporate Identiication (CID) Number |
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Street Address |
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City |
State |
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Date Incorporated / Qualiied (mm/dd/yyyy) |
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State Incorporated In |
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List Any Corporate Name Change(s) |
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Date of Change |
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Requested By (print name) |
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Street Address (if different from above) |
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3. |
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City |
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ZIP Code |
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(use space below if necessary) |
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Certiication: I declare under penalty of perjury that I am the owner, oficer, or member of the business on which tax clearance is requested and that the information is true. (Submit a Limited Power of Attorney (Form 3840) if not the owner, oficer, or member)
Printed Name of Requestor |
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Telephone Number |
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Signature of Requestor |
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Complete the requested information in its entirety and send to:
Tax Clearance Section
Michigan Department of Treasury
P.O. Box 30168
Lansing, MI 48909
Contact us for assistance: (517)
Document Specs
| Fact Name | Details |
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| Form Title | Michigan Department of Treasury 511 (Rev. 09-12) Tax Status Letter Request |
| Governing Law | Issued under authority of Public Act 122 of 1941 |
| Purpose | The form requests a tax status letter, which verifies tax standing. |
| Important Note | A tax status letter is not a certificate of good standing. |
| Required Information | Includes business name, FEIN, CID number, and address details. |
| Certification Requirement | Requestor must declare under penalty of perjury that the information is true. |
| Submission Details | Send completed form to Tax Clearance Section, Michigan Department of Treasury. |
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