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D AREAS FOR STATE USE ONLY Account Number Confirmation No. 1. Type of business (see instructions) Corporation Nonprofit 1a. If LLC, how have you chosen to be taxed for income tax purposes? Partnership Government S Corporation Fiduciary/Trust Sole Proprietorship Limited Liability Company Single Member Partnership Corporation S Corporation 2. Purpose of registration New applicant Change legal name Change assumed business name (DBA) Add new account type Add/change location Change in p.

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