State Form 44672 - Notice Of Intent To Open, Buy, Relocate, Sell Or Close A School Of Barbering - State Board Of Barber Examiners

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STATE BOARD OF BARBER EXAMINERS
NOTICE OF INTENT TO OPEN, BUY, RELOCATE,
PROFESSIONAL LICENSING AGENCY
SELL OR CLOSE A SCHOOL OF BARBERING
402 West Washington Street, Room W072
Indianapolis, IN 46204
State Form 44672 (R3 / 5-08)
Telephone: (317) 234-3031
I (we) hereby serve notice to the State Board of Barber Examiners, of intent to:
1. OPEN A NEW SCHOOL OF BARBERING
Name of school of barbering
Approximate opening date (month,day, year)
Location (number and street, city, state, and ZIP code)
Telephone number
(
)
2. BUY AN EXISTING SCHOOL OF BARBERING
Name of school of barbering
Approximate opening date (month,day, year)
Telephone number
Location (number and street, city, state, and ZIP code)
(
)
Will location of school change?
If Yes, new location of existing school of barbering? (number and street, city, state, and ZIP code)
Yes
No
3. RELOCATE AN EXISTING SCHOOL OF BARBERING
Name of school of barbering
Approximate opening date (month,day, year)
Current location (number and street, city, state, and ZIP code)
New location (number and street, city, state, and ZIP code)
Telephone number
(
)
4. SELL AN EXISTING SCHOOL OF BARBERING
Name of school of barbering
Approximate opening date (month,day, year)
Current location (number and street, city, state, and ZIP code)
Name of purchaser
Address of purchaser (number and street, city, state, and ZIP code)
Telephone number
(
)
5. CLOSE AN EXISTING SCHOOL OF BARBERING
Name of school of barbering
Approximate closing date (month,day, year)
Telephone number
Location (number and street, city, state, and ZIP code)
(
)
Dated this __________ day of _________________________________, ______________.
Signature of owner / partner / corporate officer
Date signed (month, day, year)
Printed name of owner / partner / corporate officer

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