Get IN Form 46800 2006-2023

INDIANA DEPARTMENT OF WORKFORCE DEVELOPMENT 10 N. SENATE AVE. - INDIANAPOLIS INDIANA 46204-2277 317 232-7436 REPORT OF INACTIVATION State Form 46800 R/2-96 Please type or print in ink. Indiana SUTA No. - FEIN Legal Name of Employing Unit d/b/a Business Address City State ZIP Code Date of last payroll month day year ALL REPORTS AND CONTRIBUTIONS ARE IMMEDIATELY DUE AND PAYABLE UPON CESSATION OR DISPOSITION OF BUSINESS. REFERENCE 640 IAC 1-1-6. FOR OFFICE USE ONLY Must be completed and returned within ten 10 days. Effective Date Audit Examiner Completed Refund Requested This form must be filed within 30 days of dissolution or liquidation of business. Reference Indiana Code 22-4-32-23 b. Placing an account on Inactive Status will not relieve the owner of any debts owed to the State of Indiana* FILE This report must be filed if check one You or your business discontinued operations in Indiana* Your organization is operating without employees in Indiana* NOTE If you have sold leased or merged all Indiana assets into another company you need to complete State Form 46799 Report of Transfer - Complete Sale. If there is a different mailing address from the business address listed above please indicate Current mailing address Contact person Phone No* Ext. I certify that the information contained in this notice is true and correct. Authorized Signature Phone Number. FOR OFFICE USE ONLY Must be completed and returned within ten 10 days. Effective Date Audit Examiner Completed Refund Requested This form must be filed within 30 days of dissolution or liquidation of business. Reference Indiana Code 22-4-32-23 b. Placing an account on Inactive Status will not relieve the owner of any debts owed to the State of Indiana* FILE This report must be filed if check one You or your business discontinued operations in Indiana* Your organization is operating without employees in Indiana* NOTE If you have sold leased or merged all Indiana assets into another company you need to complete State Form 46799 Report of Transfer - Complete Sale. If there is a different mailing address from the business address listed above please indicate Current mailing address Contact person Phone No* Ext. I certify that the information contained in this notice is true and correct. Authorized Signature Phone Number. .