Account Change Or Clousure Form

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ACCOUNT NUMBER
Use this form to notify the City of Durango of any change in the trade name (or dba), change of business
I
or mailing address, or to notify the City that you want to close your sales tax account. If you are closing
I
your account, please indicate the appropriate reason.
Authorized Signature
I Telephone Number
I
TRADE NAME OR ADDRESS CHANGE
CURRENT NAME AND ADDRESS
NEW BUSINESS NAME AND/OR ADDRESS
Name
Address
City/ST
[] Business Address
[] Mailing Address
CHANGE OF OWNERSHIP/BUSINESS CLOSURE
LAST DAY OF BUSINESS:
/
/
NEW OWNERSHIP INFORMATION
Name
REASON: [] Ownership has changed
, r
,
Address
[] Business has been permanently discontinued
[] Business has been sold
City/ST

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