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Ective / / Reason for cancellation: Gross receipts less than $150,000 Merger Out of business Sold business Revoked Other Dissolution Bankruptcy / Please reactivate my CAT account effective Reason for reactivation: / Gross receipts greater than $150,000 Other *Please note: If reactivating a combined or consolidated taxpayer group, all members that were part of the group on the cancellation date will be reactivated. If group members have changed, please complete form CAT AR (Add/Re.

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