Fill and Sign the Kiwanis Club of Gadsden Scholarship Application Deadline Gadsdenkiwanis Form

MAINE INCOME TAX WITHHOLDING NAME AND ADDRESS CHANGE FORM FORM 941/C1C-ME 2007 If there has been a change in your name, address or telephone number, complete this form and mail it to MAINE REVENUE SERVICES. If there has been a change in your Federal Identification Number, call CENTRAL REGISTRATION at (207) 287-2338. Note: If your business is discontinued or the requirement to withhold permanently ceases, complete the cancellation notice at the bottom of the quarterly return. Mail to: Present Withholding Account Number: Maine Revenue Services P.O. Box 9103 Augusta, ME 04332-9103 Present UC Employer Account Number: Present Name and Address: Old Phone Number: ____________________________________________________ New Name and Address: New Phone Number (If Applicable): _______________________________________ Effective Date of Change: _______________________________________________ Remarks: __________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________ Date _______________________________________________ Signature _______________________________________ Title ________________________ Telephone Number