MW NAME AND ADDRESS REPORT - State of Michigan - michigan 2025

Get Form
MW NAME AND ADDRESS REPORT - State of Michigan - michigan Preview on Page 1

Here's how it works

01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out MW NAME AND ADDRESS REPORT - State of Michigan with DocHub

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click ‘Get Form’ to open the MW NAME AND ADDRESS REPORT in our editor.
  2. Begin by entering the date at the top of the form. This is essential for record-keeping.
  3. Fill in the LICENSE NUMBER field with the appropriate license number associated with your business.
  4. In the AUTHORIZED DISTRIBUTION AGENTS section, input the names and addresses of all authorized agents. Ensure accuracy to avoid any compliance issues.
  5. Continue filling out each section, including NAME, ADDRESS, CITY, STATE, ZIP, and COUNTY/SOURCE for each agent listed.
  6. Review all entries for completeness and correctness before finalizing your report.
  7. Once completed, utilize our platform's signing feature if required and save your document securely.

Start using our platform today to streamline your form completion process for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
Plan of Action: Note any address changes if needed. Provide your SSN. Sign the renewal notice. Add a check or money order for $18.00 payable to the State of Michigan. Mail the renewal notice and payment using the enclosed envelope, or mail to: Michigan Department of State 7064 Crowner Dr. Lansing, MI 48980-0001.
If an individual lives in this state at least 183 days during the tax year or more than 1/2 the days during a taxable year of less than 12 months he shall be deemed a resident individual domiciled in this state.
A valid Social Security number (for example, a Social Security card) b. U.S. citizenship (for example, a certified birth certificate with a raised seal issued by a U.S. or U.S. territory government office, a certificate of citizenship or naturalization, a report of foreign birth abroad, or a valid U.S. passport c.