Form Bcf - Business Change Form For Tax Purposes Only

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CHICAGO DEPARTMENT OF FINANCE
BCF
BUSINESS CHANGE FORM FOR TAX PURPOSES ONLY
(DO NOT USE THIS FORM IF YOU HOLD A CHICAGO BUSINESS LICENSE. FOR LICENSE CHANGES, CALL 312-747-IRIS (4747))
Please email completed document to:
attn: Database
or fax to (312)747-1890
or Return to Chicago Department of Finance, Database Unit, 333 S. State Street Chicago IL 60604
I. Account Information Before Business Change
IRIS Account #
Site #
Medallion #
Date Acquired
Business Name
Owner Name
Business Address
F.E.I.N.
Mailing Address
I.B.T.N.
II. Change in Business Name or Address
New Business Name
New Business Address
City
State
Zip Code
New Mailing Address
City
State
Zip Code
III. Change of Responsible Person(s)
Provide the name and title of all new officers, general partners, or Limited Liability Company managers.
(Attach separate sheets if necessary).
Name
Title
Name
Title
IV. Change in Business Operations
Identify and explain any changes in services, products, or internal operations that may require your business to pay other
Chicago taxes. (Attach separate sheets if necessary). If your change makes your business subject to a Chicago tax, complete
an Affidavit (For Initial Taxable Period). If your change makes your business no longer subject to a tax, complete an Affidavit
(For Final Taxable Period). If your business ceased operations you must file all tax returns within 45 days after the close of the
business.
If your business ceased operations (out-of-business), provide date and attach supporting documents. Date
If your business ceased operations due to a change in ownership, please provide buyer’s information in Section V.
V. Change in Ownership
If you sold or transferred the business or medallion named in section I above, provide the buyer information below and check
Transferee. If you purchased or acquired by transfer the business or medallion named in section I above, provide your
information below and check Transferee. If you are the business in section I above and you are acquiring another business,
provide the information of the acquired entity and check Transferor. Provide the date of change in ownership. You must
contact the Department of Finance Bulk Sales Unit and complete a Bulk Sales Notification Form 45 days before the
date of sale.
Name
Phone (
)
Address
IRIS Account #(if known )____________
(Check one)Transferee
Transferor
Date of Change in ownership
VI. Comments
VII. Owner/Officer Statement
Under penalty or perjury, I certify that I have examined this Business Change Form and it is true, correct, and complete.
Print Name
Date
Signature
Title
Phone (
)
EMAIL Address_________________________________________
DR91 4/18/2008

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