Indiana Notice of Corporate Dissolution Liquidation or Withdrawal

Notice of Corporate Dissolution Liquidation or Withdrawal
Form IT-966
IT-966

State Form 50150
(R7 / 9-23)

Indiana Department of Revenue

Notice of Corporate Dissolution
Liquidation or Withdrawal
(Required under IC 6-8.1-10-9)

Name of Corporation

Federal Employer Identification Number

Address

Indiana Taxpayer Identification Number

City, State and ZIP Code

Type of Indiana Corporate Return Filed

Date Incorporated

Market Value of Corporate Assets

State of Incorporation

Corporate Liabilities

Type of Liquidation

Last Month, Day and Year of Final Tax Year

□

Partial

□

Complete

Date of Dissolution

Was corporation’s final return filed as part of a consolidated
income tax return?

□

Yes

□

No

Name of Common Parent

Federal Employer Identification Number

Date of Any Amendments to Plan of Dissolution

Section of the Internal Revenue Code Under Which the
Corporation is to Be Dissolved or Liquidated

Under the penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the
best of my knowledge and belief, it is true, correct, and complete.
Signature of Officer: _____________________________________ 	

Title:_____________________ 	

Date:________________

Use additional sheets if necessary.
Name of Corporate Officer/Shareholder

Address of Corporate Officer/Shareholder

Social Security Number

The following information must be attached to this form:
(1)	 A copy of the minutes of the shareholders’ meeting at which the plan or resolution was formally adopted.
(2)	 A copy of the corporation’s certificate of dissolution or a copy of the corporation’s certificate of withdrawal.
(3)	 A complete explanation of the plan or resolution.
(4)	 A copy of the final corporate returns, both Federal and State.

Instructions for Completing Form IT-966
This form is required for all corporations and or
organizations dissolving or liquidating in Indiana.
A Power of Attorney (POA-1) is needed if someone
other than a corporate officer requests a clearance for a
corporation or organization effecting dissolution, liquidation,
or withdrawal.
A corporation may formally request the department issue a
clearance to a corporation effecting dissolution, liquidation,
or withdrawal if:	
1.	 All necessary tax returns (including the final tax return)
have been filed in a timely manner.
2.	 All tax payments and liabilities due or determined due
to the department have been paid.
3.	 The form of notification (Form IT-966) was filed with
the department within thirty days of the issuance
of a certificate of dissolution, decree of dissolution,
the adoption of a resolution or plan, or the filing of a
statement of withdrawal.
The request for clearance must be made in writing by
the officers and directors of the corporation within thirty
days after the filing of the form of notification with the
department. The issuance of a clearance under IC 6-8.110-9(g) releases the officers and directors from personal
liability under IC 6-8.1-10-9.
If the corporation does not request the department issue a
clearance to a corporation effecting dissolution, liquidation
or withdrawal, the department has one year from the
date of this form or the filing of all necessary tax returns,
including the final tax returns, whichever is later, to assess
any tax or liabilities that may be due the department. The
corporate officers, directors remain personally liable for any
acts or omissions that result in the distribution of corporate
assets before all state or county tax liabilities have been
satisfied. An officer or director held liable for an unlawful
distribution under IC 6-8.1-10-9 is entitled to contribution
from every other director who voted for or assented to the
distribution and from each shareholder for the amount of
distribution accepted by the shareholder.

A nonprofit organization that is dissolving, liquidation or
withdrawing from Indiana must file Form IT-966. If the
nonprofit organization requests clearance be issued, the
not for profit organization must be duly registered with the
department and have filed all necessary Forms NP-20R
and IT-20NP, if applicable.
Note. A Notice of Transfer in Bulk form must also be filed
with the Indiana Department of Revenue if more than 50%
of tangible personal property is transferring to shareholders
or creditors. For more information visit www.in.gov/dor/taxforms/successor-in-liability.
For any questions regarding this form, you may call
317-232-3425, option 5.
Mail the form to:
Indiana Department of Revenue
Business Tax Compliance
100 North Senate Ave., Room N241
Indianapolis, IN 46204-2253