Michigan PDF Forms
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The Michigan 514 form serves as a crucial document for businesses navigating the complexities of tax clearance in Michigan. Specifically designed for sole proprietorships, partnerships, limited liability companies, and corporations that have sold the majority of their assets, this form facilitates the request for a Conditional Tax Clearance. It is essential for businesses that plan to maintain their corporate shell while continuing to file tax returns until a final decision is made regarding dissolution. Completing the form requires detailed information, including the name of the business, the Federal Employer Identification Number, and the owner’s social security number, among other specifics. Additionally, businesses must disclose operational details, such as whether they will continue business activities post-clearance and any outstanding tax returns. The form also includes a certification section where the owner or authorized member must affirm the accuracy of the provided information under penalty of perjury. To ensure compliance, all unfiled Michigan tax returns and associated remittances must accompany the submission of the form. Properly completing and submitting the Michigan 514 form is a vital step for businesses aiming to maintain compliance and facilitate smooth transitions during asset sales.

Form Example

Michigan Department of Treasury 514 (Rev. 09-12)

Date

Conditional Tax Clearance Request

Issued under the provision of Public Act 144 of 1921, as amended; Public Act 265 of 1947, as amended; Public Act 281 of 1967, as amended; Public Act 119 of 1980, as amended; Public Act 167 of 1933, as amended; and Public Act 94 of 1937, as amended.

IMPORTANT: This is a request for a Michigan Conditional Tax Clearance by a sole-proprietorship, partnership, limited liability company or corporation that has sold most of its assets, but the corporate shell will remain to continue iling tax returns (when due) until the corporation later determines whether it will ile a Certiicate of Dissolution with the Corporation Division.

This form must be completed in its entirety.

Name of Sole-Proprietorship, Partnership or Corporation, Limited Liability Company

 

 

 

Federal Employer Identiication Number or TR Number

 

 

 

 

 

 

Owner(s) Name(s) (if sole-proprietorship or partnership)

 

 

 

Social Security Number(s)

 

1.

 

 

 

 

 

 

 

1.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Doing Business As (trade name)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business Street Address of Location Requesting Clearance

City

 

 

State

 

ZIP Code

 

 

 

 

 

 

 

 

 

 

 

 

 

If a Corporation, Date Incorporated in Michigan (mm/dd/yyyy)

Date Business Started at This Location (mm/dd/yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

Date Business Discontinued at This Location (mm/dd/yyyy)

Ending Date of Last Payroll at This Location (mm/dd/yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are you continuing business activity after clearance?

If Yes, Expected Gross Receipts for the Year

 

 

 

 

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Residence Address of Discontinued Taxpayer

Residence Telephone Number (including area code)

 

 

 

 

 

 

 

Does taxpayer operate more than one place of business?

If multiple locations, is clearance requested for the above location only?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

No

 

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Names and Addresses of Business Locations Still in Operation (use reverse side if necessary)

 

 

 

 

 

 

 

 

 

 

Have you sold or disposed of business to another entity?

If Yes, Date of Sale (mm/dd/yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If Yes, Name and Address of Purchaser

 

 

 

 

 

 

 

 

 

 

Purchaser’s Federal Employer Identiication Number or TR Number

Is money being held in escrow pending receipt of a tax clearance?

 

 

 

 

 

 

 

Yes

 

No

Amount if Yes:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business Name and Address of Holder of Escrow Money

 

 

 

Attention:

 

 

 

 

 

 

 

Holder’s Telephone Number (include area code)

Month(s) Included on Final Federal 941 Return

 

 

 

 

 

 

 

 

 

 

Name and Location of Holder of Seller’s Books and Records

 

 

 

 

 

 

 

 

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).

Print Name

Title

 

 

Signature

 

A business requesting a Michigan Conditional Tax Clearance should forward all uniled Michigan tax returns (up to the date of discontinuance) together with all remittances for those returns with this form to the address below. Mail form directly to: Tax Clearance

Section, Michigan Department of Treasury, P.O. Box 30168, Lansing, MI 48909.

▼ Michigan 514 PDF Form

Document Specs

Fact Name Details
Governing Laws This form is issued under the provisions of several laws, including Public Act 144 of 1921, Public Act 265 of 1947, Public Act 281 of 1967, Public Act 119 of 1980, Public Act 167 of 1933, and Public Act 94 of 1937.
Purpose The Michigan 514 form is a request for Conditional Tax Clearance for entities that have sold most of their assets but will remain active for tax filing purposes.
Eligible Entities Eligible applicants include sole proprietorships, partnerships, limited liability companies, and corporations.
Completion Requirement The form must be completed in its entirety to ensure processing. Incomplete forms may result in delays.
Continuing Business Activity Applicants must indicate whether they will continue business activity after clearance and provide expected gross receipts for the year if applicable.
Escrow Information If applicable, the form requires information about any money held in escrow pending the receipt of tax clearance.
Submission Instructions The completed form, along with any unfiled Michigan tax returns and remittances, should be mailed to the Tax Clearance Section at the Michigan Department of Treasury.
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