Form Ar 0175 is a new form that the Arkansas State Tax Commission has released in order to help taxpayers filing their taxes. The form is designed to help taxpayers report all of their income, and it can be used to file both personal and business taxes. This form will replace the old Form AR 1050, so it is important that taxpayers familiarize themselves with its contents. In this blog post, we will provide an overview of Form Ar 0175 and explain how it can be used to file your taxes. We hope that this information will be helpful for those of you who are preparing to file your taxes for the 2017 tax year. Thanks for reading!
| Question | Answer |
|---|---|
| Form Name | Form Ar 0175 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | ar0175_24392_7 michigan gov motor vehicle repair facility form |
MOTOR VEHICLE REPAIR FACILITY REGISTRATION CHANGE OF OFFICER, DIRECTOR, STOCKHOLDER APPLICATION
MICHIGAN DEPARTMENT OF STATE
Licensing Unit
Lansing, Michigan 48918
(517)
www.Michigan.gov/sos
DEPARTMENT USE ONLY:
Approved:
By:
IF THE BUSINESS ENTITY HAS CHANGED, YOU MAY NOT USE THIS FORM.
YOU MUST APPLY FOR AN ORIGINAL REGISTRATION.
1.BUSINESS NAME and REPAIR FACILITY REGISTRATION NUMBER (Type or print exactly as it appears on your wall license.)
Business Name |
Repair Facility Registration Number |
2.BUSINESS LOCATION AND BUSINESS TELEPHONE NUMBER
( )
Street |
City |
County |
Zip Code |
Telephone Number |
3.CORPORATE OFFICERS, DIRECTORS, AND STOCKHOLDERS OWNING 10% OR MORE OF THE STOCK
Type or print the information for ALL persons to be listed on the registration (both new and continuing). Attach additional sheet(s), if necessary.
A.
|
Full Legal Name |
Home Address: Street |
City/State |
Zip Code |
|
|
|
|
|
|
Home Telephone |
Date of Birth |
Driver License Number |
|
B. |
|
|
|
|
|
Full Legal Name |
Home Address: Street |
City/State |
Zip Code |
|
|
|
|
|
|
Home Telephone |
Date of Birth |
Driver License Number |
|
C. |
|
|
|
|
|
Full Legal Name |
Home Address: Street |
City/State |
Zip Code |
|
|
|
|
|
|
Home Telephone |
Date of Birth |
Driver License Number |
|
D. |
|
|
|
|
|
Full Legal Name |
Home Address: Street |
City/State |
Zip Code |
|
|
|
|
|
|
Home Telephone |
Date of Birth |
Driver License Number |
|
Complete Items 4 and 5 only as they relate to NEW corporate officers, directors, or stockholders.
4.PREVIOUS REPAIR FACILITY REGISTRATION(S)
Have any of the NEW applicants listed in Item 3 ever owned or participated in any repair facility? ¸ NO |
¸ YES |
||
If your answer is YES, type or print complete details below. Attach additional sheet(s), if necessary. |
|
||
|
|
|
|
Applicant’s Name |
Business Name |
Registration Number |
Last Year Registered |
|
|
|
|
Applicant’s Name |
Business Name |
Registration Number |
Last Year Registered |
|
|
|
|
Applicant’s Name |
Business Name |
Registration Number |
Last Year Registered |
|
|
|
|
Applicant’s Name |
Business Name |
Registration Number |
Last Year Registered |
(over)
5.ARRESTS OR CONVICTIONS
Have any of the NEW applicants listed in Item 3 been arrested or convicted of a crime other than a traffic violation in Michigan or any other state within the past ten (10) years? ¸ NO ¸ YES
If your answer is YES, type or print the name(s) of the applicant(s) involved and complete details of all arrests or convictions that took place in the past ten (10) years. Attach additional sheet(s), if necessary.
Name(s) of Person(s) Arrested or Convicted, and Details
Enter Details Here:
Date(s) of Arrest(s) or Conviction(s) Enter Dates Here:
Court(s) of Record Enter Court(s) of Record here:
City and State
Enter City and State Here:
6.READ CAREFULLY BEFORE SIGNING. ALL PERSONS LISTED IN ITEM 3 MUST SIGN.
I certify that the statements contained in this application are true and I, as an officer, director, or stockholder of the corporation, have authority to sign this application and to make the statements contained herein. I understand that any misleading, incomplete, or false statement shall be grounds for denial of this application or the suspension or revocation of my registration.
I stipulate and agree that any legal process affecting this business served on the Secretary of State or his/her deputies shall have the same effect as if personally served on me and all other owners of this business, if any. I further agree that this appointment shall remain in force as long as any liability of this business remains outstanding within the State of Michigan.
|
Signature |
Title |
Date |
|
|
|
|
|
Signature |
Title |
Date |
|
|
|
|
|
Signature |
Title |
Date |
|
|
|
|
|
Signature |
Title |
Date |
|
|
|
|
|
Signature |
Title |
Date |
|
|
|
|
|
Signature |
Title |
Date |
|
|
|
|