Add/remove Business Officer Form - Salt Lake City Corporation Business Licensing printable pdf download

Salt Lake City Corporation

Business Licensing

451 S State Street, Room 225, City & County Building

P.O. Box 145458

Salt Lake City, Utah 84114-5458

(801) 535-6644 Fax: (801) 535-7779

ADD/REMOVE BUSINESS OFFICER

Business licenses are non-transferrable. To add or remove a business officer from an existing business license, the

following information must be submitted and notarized by the business owner.

________________________________________,

__________________________, am a legal

(Name)

(Title)

representative the following business with the requisite authority necessary to add or remove the following individual

from the business license at issue:

Business Name:______________________________ License Number:____________________

Address:______________________________________________________________________

I would like to

ADD,

REMOVE, the following person to/from the business license identified herein:

Name:_____________________________________ DL#_____________________ State______

Address:_______________________________________________________________________

Position (Manager, Officer, Co-owner, etc____________________________________________

If co-owner, percentage of ownership_________%

I, ____________________________________, being duly sworn and on my oath, hereby affirm the truthfulness and

completeness of the foregoing information. I hereby acknowledge that any and all misrepresentation and/or errors

herein may constitute grounds for denial of the application or future revocation of the license. I also hereby

acknowledge that all applicable laws and ordinances of Salt Lake City Corporation are expressly understood and will be

obeyed by all persons involved in the business. That to do otherwise would be grounds for revocation of the license and

any and all licenses issued by Salt Lake City Corporation.

____________________________________________

(Representative Signature)

Subscribed and Sworn to me this ______ day of _________________________, 20_____.

_____________________________________

Notary Public Residing in:

My commission expires:

The submission of this document for the purpose of adding or removing a business officer only affects the records of the Salt Lake City Business

Licensing Division and the Business License identified herein. This document does not add or remove the business officer identified above from the

official Utah Department of Commerce records that govern the composition, ownership, and officers of business entities within the State of Utah.

Add/remove Business Officer Form - Salt Lake City Corporation Business Licensing