Form Au 22 PDF Details

Navigating the intricacies of business obligations within the New Hampshire Department of Revenue Administration (NH DRA) necessitates a thorough understanding of specific processes, including the filling out and submission of Form AU-22. This form is a critical tool for businesses seeking certification related to good standing, dissolution, or withdrawal from the state. It outlines a clear sequence of steps—from business identification through taxpayer information, request categorization, detailed instructions on the submission of accompanying documents and fees, to the final signature—that must be strictly followed to avoid rejection. Businesses are mandated by law, under RSA 293-A for corporations and RSA 304-C for Limited Liability Companies, to secure a certification from the NH DRA before proceeding with filings at the NH Secretary of State Corporate Division. The filing procedure, though comprehensive, is designed with checks such as the validation of the completeness of a business's tax filings and ensuring all relevant documents and fees accompany the AU-22 submission. With a non-refundable fee and specific deadlines for processing requests related to dissolution or withdrawal and obtaining a certificate of good standing, businesses are advised to plan their submissions accordingly. This protocol underscores the state's commitment to maintaining an orderly and compliant business environment while providing clear directives for companies navigating their fiscal and legal responsibilities within New Hampshire.

QuestionAnswer
Form NameForm Au 22
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesRSA, 304-C, AU-22, 2011

Form Preview Example

FORM

AU-22

NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION

CERTIFICATION REQUEST FORM

Steps 1 through 5 must be completed. If not, your request shall be considered incomplete and rejected.

FOR DRA USE ONLY

Fee Paid? Yes

 

No

 

 

 

 

STEP 1

BUSINESS NAME

 

 

 

 

TAXPAYER IDENTIFICATION NUMBER

 

PRINT OR

 

 

 

 

 

 

 

 

 

 

TYPE

NUMBER & STREET ADDRESS

 

 

 

 

DEPARTMENT IDENTIFICATION NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS (CONTINUED)

 

 

 

 

NH SECRETARY OF STATE IDENTIFICATION NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

CITY/TOWN, STATE, ZIP CODE

 

 

 

 

MEALS & RENTALS TAX LICENSE NUMBER

 

 

 

 

 

 

 

 

 

 

 

COMPANY CONTACT NAME & TELEPHONE NUMBER

 

 

 

COMMUNICATIONS SERVICE TAX REGISTRATION NUMBER

 

 

 

 

 

 

 

 

IS CERTIFICATION LETTER TO BE SENT TO NAME & ADDRESS ABOVE? Yes

No

ENTITY TYPE

LLC FILING AS:

 

 

IF NO, ATTACH A POWER OF ATTORNEY (FORM DP-2848) AUTHORIZING US TO

CORPORATION

PROPRIETOR PARTNERSHIP

 

 

 

 

 

 

 

 

SEND TO ADDRESS OTHER THAN BUSINESS ADDRESS ABOVE.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STEP 2

STATEMENT OF

CERTIFICATE OF

STATEMENT FOR

 

 

 

 

 

 

REQUEST

GOOD STANDING

DISSOLUTION

 

WITHDRAWAL

 

 

 

 

 

 

TYPE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STEP 3

LINE 1 Date registered with Secretary of State's offi ce to conduct business in New Hampshire:

 

 

 

INFORMATION

LINE 2(a) Date of last business activity in New Hampshire

 

 

 

 

 

 

 

(b) If this is a request for a Withdrawal or Dissolution, has a fi nal return encompassing the last day of business been filed?

Yes

 

No

 

If no, attach fi nal return to request, or indicate date fi nal return will be filed: ___________________

 

 

 

 

 

LINE 3 Reason for request:

LINE 4 Which taxes have you fi led with NH in the past? (Check all that apply and enter 4-digit year)

Interest and Dividends Tax ________

Real Estate Transfer Tax ________

Communications Services Tax________

Y Y Y Y

Y Y Y Y

Y Y Y Y

Business Taxes ________

Meals and Rentals Tax ________

Other ______________________________

Y Y Y Y

Y Y Y Y

Y Y Y Y

LINE 5 If filing as part of Combined Group indicate Name and Taxpayer Identification Number (TIN) of Company under which this entity fi les its NH returns:

LINE 6 If requesting taxpayer is considered a disregarded entity for federal purposes (SMLLC), indicate Name and TIN of Company under which this entity reports its business activity federally:

STEP 4

(a)

Have you included a non-refundable fee of $30.00 made payable to the State of New Hampshire? Yes

No

ATTACHMENTS

 

 

 

 

 

 

 

 

 

 

(b)

Is the requesting company dissolving or liquidating? Yes

No

 

 

 

 

If yes, see instructions for this line.

 

 

 

 

 

 

(c) For Good Standing requests, see Instructions for this line.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STEP 5

 

 

 

 

 

 

 

 

 

SIGNATURE

 

 

 

 

 

 

 

 

 

AND TITLE

 

 

 

 

 

 

 

 

SIGNATURE (IN INK) OF CORPORATE OFFICER/PARTNER/MEMBER/PROPRIETOR

 

 

 

DATE

 

 

 

 

 

 

 

 

 

 

PRINT SIGNATORY NAME

 

TITLE

 

 

Please note that the NH Department of Revenue Administration has approximately 60 days in which to respond for a Dissolution or Withdrawal and approximately 30 days for a Good Standing.

FORM

AU-22

FOR DRA USE ONLY

CERTIFICATION REQUEST

PAYMENT FORM

FOR DRA USE ONLY

BUSINESS NAME

 

 

 

Good Standing

Dissolution

Withdrawal

 

 

 

 

 

 

TAXPAYER IDENTIFICATION NUMBER

 

 

 

 

 

009

006

006

 

 

 

 

 

 

 

 

 

 

NH DRA

 

 

Statement request Fee

$

 

MAIL AUDIT DIVISION

 

 

Make check payable to:

 

 

TO:

PO BOX 457

 

 

State of New Hampshire

 

 

CONCORD NH 03302-0457

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

30.00

AU-22

Rev 04/2011

FORM

AU-22

NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION

INSTRUCTIONS

CERTIFICATION REQUEST FORM

WHO MUST FILE

Businesses are required to obtain a Certificate/Statement from the NH Department of Revenue Administration (NH DRA) prior to filing with the NH Secretary of State Corporate Division. This requirement is mandated by law pursuant to RSA 293-A, the NH Business Corporation Act, and RSA 304-C, Limited Liability Companies.

If not required to file taxes in NH, attach a copy of the first four pages of the federal return actually filed with the Internal Revenue Service (IRS) for the period that includes the last date of business in NH.

WHAT TO FILE

Statement of Good Standing: Attach all returns that are due, but have not yet been filed with the NH DRA, including copies of all federal pages as fi led with the IRS. See Rev 309.02 and Rev 2409.02.

Certificate of Dissolution: If not already filed with NH DRA, attach a final NH Business Enterprise and/or Business Profits Tax return with copies of all federal pages, including forms 4797 and 6252, as filed with the IRS for the period that includes the last date of business in NH. Also, attach copies of: 1) the minutes of the board of directors’ meeting authorizing the dissolution; 2) a plan of liquidation; 3) a schedule detailing the distribution of all NH assets; and if a corporation, 4) Federal Form 966. See Rev 309.03 and Rev 2409.03.

Statement for Withdrawal: If required to file taxes in NH and not already filed with NH DRA, attach a final NH Business Enterprise and/or Business Profits Tax return with copies of all federal pages as filed with the IRS for the period that includes the last date of business in NH. Also attach a statement addressing the disposition of all NH assets. If a plan of liquidation has been adopted, attach a copy of Federal Form 966. See Rev 309.04 and 2409.04.

WHEN TO FILE

A completed Form AU-22 and the $30.00 fee should be filed at least 60 days prior to application with the NH Secretary of State Corporate Division to allow for tax account reconciliation and processing. It is recommended that this request not be submitted before a final return is filed, as a Certificate/ Statement cannot be issued until a return encompassing the last business day in NH is filed.

WHERE TO FILE

Send your completed Form AU-22 and $30.00 fee to: NH DRA, Audit Division, 109 Pleasant Street, PO Box 457, Concord, NH 03302-0457.

NEED HELP?

Call Central Taxpayer Services at (603) 271-2191, Monday through Friday, 8:00 am - 4:30 pm. For assistance with the Secretary of State Corporate Division requirements, call (603) 271-3246 or visit their website at www. sos.nh.gov/corporate.

NEED FORMS?

To obtain additional forms you may access our web site at www.nh.gov/revenue or call the forms line at (603) 271-2192.

ADA COMPLIANCE

Individuals who need auxiliary aids for effective communications in programs and services of the New Hampshire Department of Revenue Administration are invited to make their needs and preferences known. Individuals with hearing or speech impairments may call TDD Access: Relay NH 1-800- 735-2964.

LINE BY LINE INSTRUCTIONS

STEP 1: BUSINESS INFORMATION

Enter the business name, address, company contact name and telephone number. Enter the Tax Identification Number (TIN) assigned to the business by the IRS. Enter the NH Department Identification Number (DIN) if one has been assigned. Enter the NH Secretary of State Identification Number. Enter the Meals & Rentals Tax Operator License Number, if applicable. Enter Communications Service Tax Registration Number, if applicable.

Check the applicable entity type, and if the business is a Limited Liability Company, check box. Check "Yes" or "No" as to whether the Certificate/ Statement is to be sent to address in Step 1. If no, then Form DP-2848, Power ofAttorney, must accompany this form. Form DP-2848 is also required if company contact is not an employee or officer.

STEP 2: REQUEST TYPE

Check the box indicating the type of Certificate/Statement you are requesting. If requesting more than one original Certificate/Statement, a separate Form AU-22 and fee must be submitted for each additional request.

Dissolution vs. Withdrawal: If the requesting company is a domestic corporation or limited liability company, check the “Certificate of Dissolution” box. If the requesting company is a foreign corporation or limited liability company, check the “Statement For Withdrawal” box.

STEP 3: INFORMATION

Line 1 Enter the date the business registered with the Secretary of State's offi ce to do business in New Hampshire.

Line 2(a) Enter the last or most recent day of business activity in New Hampshire.

2(b) A fi nal return encompassing the date of withdrawal or dissolution must be fi led. Check the appropriate box to indicate if the fi nal return has been fi led. If not, submit your completed fi nal return with this request, or indicate the date the fi nal return will be fi led. If a fi nal return has not already been fi led or does not accompany this form, your request will be delayed or denied until such time the fi nal return is filed.

Line 3 Provide a complete explanation of the reason(s) for the request.

Line 4 Check the box(es) to indicate all New Hampshire taxes you have fi led with the NH DRA. Enter the 4-digit year of the last return that was fi led with the NH DRA.

Line 5 Enter the name and TIN of the parent company, if applicable. If not, specify "No Parent" or specify principal NH fi ler if entity

les as a member of a combined group. Line 6 Enter the name and TIN

of the federal reporting entity if taxpayer is a Single Member Limited Liability Company (SMLLC).

STEP 4: ATTACHMENTS

(a)Select "Yes" or "No" to indicate whether you have enclosed the $30 non-refundable fee, made payable to the State of New Hampshire. If your request is submitted without the appropriate fee, your request shall be denied.

(b)Dissolution or liquidation requests require that you submit a copy of your Federal Form 966 and a copy of the minutes of the meeting held when the decision to dissolve or liquidate was made. Check the appropriate box to indicate that you have included these documents, if applicable.

(c)For Good Standing requests: If your business does not meet the minimum fi ling requirements for NH Business Profits or Business Enterprise Taxes, include copies of pages 1 through 4 of your three most recent federal returns. See RSA 77-A:6 and RSA 77-E:5 for filing requirements.

STEP 5: SIGNATURE AND TITLE

Signature, in ink, of a corporate officer, member, partner or proprietor, the title of that individual and the date the request was signed. If other than the corporate officer, member, partner or proprietor, attach a completed Form DP-2848, Power of Attorney.

NOTE:

The Commissioner's determination is not the result of an audit and issuance of a Statement of Good Standing, Statement for Withdrawal, or Certificate for Dissolution does not preclude audit of the business organization and its returns for any period within the statutory provisions of RSA 21-J:29.

AU-22

Instructions

Rev 04/2011

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Part # 2 of submitting 4-digit

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