Repair Facility Change Of Address Notification

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Repair Facility Change of Address Notification
Dear Repair Facility Owner:
Please use this form to notify Business Licensing Section of a change in your business address.
The business address cannot be updated until notification of this change is received in writing.
Please complete the following:
Facility License Number: ______________________________
Business Name: ______________________________________
Street Address: _______________________________________
City/State/Zip: ________________________________________
Owner’s Signature: ____________________________________
Owner’s Printed Name: _________________________________
Return this notification to:
Michigan Department of State
Business Licensing Section
Lansing, MI 48918
Or fax the completed form to (517) 335-2810.
If you have any questions, please contact the Business Licensing Section at 1-888-SOS-MICH
(1-888-767-6424).
Sincerely,
Business Licensing Section
Driver Programs Division
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