Form Csuf 5 is a state form that is used to report changes in the ownership of a business. This form is generally used by businesses that are registered with the California Secretary of State. The form must be filed within 10 days of the change in ownership. The information on the form will be used to update the business's registration records. There may be penalties for businesses that do not file this form in a timely manner. The California Secretary of State offers several resources to help businesses file Form Csuf 5. These resources include an online filing system, instructions and workshops, and templates. The online filing system provides step-by-step instructions for completing the form. The instructions and workshops offer more detailed information about filing the form, including specific instructions for different types of ownership changes. The templates provide a guide for completing the Form Csuf 5 correctly. Businesses that have any questions about Form Csuf 5 can
Question | Answer |
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Form Name | Form Csuf 5 |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | stub, remits, withheld, penalties |
CITY OF PARKERSBURG, WV |
Refund Claim Form |
Form CSUF - 5 |
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City Service User Fee |
Please type or print legibly |
1. Enter Employee Information
Full Name |
Employee's Identification Number/Last 4 Digits of Social Security # |
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Mailing Address (Number and Street) |
Phone Number |
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City, State and Zip Code |
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2. Enter Claim Information
Employer Name |
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Employer Identification Number |
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Amount of Refund |
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Claimed |
$ |
(Cannot exceed $32.50) |
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State reason for claiming refund (Attach copies of pay stub(s) reflecting the fee withheld from pay during the period)
I hereby request a refund of the amounts of the fee withheld as specified. I consent to the City of Parkersburg Finance Director verifying this information by contacting the Employer named above. Under penalties of perjury, I declare that the foregoing statement is true, correct and complete to the best of my knowledge.
Employee Signature
Date Signed
Instructions for Refund Claim Form
1.Use this form only if the Employee is claiming a good faith refund of amounts withheld and paid over by the Employer identified. A copy of a pay stub reflecting withholding by the Employer must accompany this form.
2.This form must be filed within 30 days after the fee is paid over to the City of Parkersburg by the Employer that withheld the fee from the Employee. If the Employer remits the fee prior to the due date, then the form must be filed within 30 days after the due date of the remittance.
3.All refund claim forms shall be timely mailed to the City of Parkersburg, Finance Department, PO Box 1627, Parkersburg, WV 26102.