This request will be processed electronically and no further action is needed after submission. We do not accept online or over the phone credit card payments at this time, therefore a processing fee of $5.00 will be applied to your business license account. If you are closing your business, there is no additional processing fee.

Contact Information

Owner Name:*

Business Name:*

Business License Number (six digits):*

Firm Address:*

City:*

State: *

Zip:*

Phone Number:*

Email Address:*

Categories:*

Change of Phone Number Change of Fax Number Change of Name Change of Sellers Permit Number Change of State License Change of Other

Change Request Description*

If you choose the "Submit and Print" feature, this form will be submitted and processed online, and you will have the option to make a copy for your records.