Please complete this form in its entirety to close your company's Retail Sales Tax License or General Business Registration.   

* indicates a required field

*License/Registration No. 
*Date of Closure: 
*DBA Name: 
*Reason for Closure: 
Please Note: Any changes to account information must be reported to the City within thirty (30) days. Licenses and registrations are NOT transferable and a new application must be submitted with a change in ownership.

Signature

This application has been examined by me and the statements made herein are true, correct and complete. I understand that any incomplete, false, misleading or fraudulent statement may be grounds for denial of a business registration. Centennial Municipal Code 6-1-70(b)(3)
*Name: 
*Email Address: 
*Date: 
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Quick Contact Info:

City of Centennial
13133 East Arapahoe Road
Centennial, CO  80112

(303) 325-8000 - 24-Hour Citizen Response Center
(720) 488-0933 - Fax Number

 

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