Fillable Name Change (business and/or individual) Change Contact Information (City of Yorba Linda)

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Name Change (business and/or individual) Change Contact Information (City of Yorba Linda)

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The Name Change (business and/or individual) Change Contact Information (City of Yorba Linda) form is 1 page long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for City of Yorba Linda

BROWSE CITY OF YORBA LINDA (CA) FORMS

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Business Name: License Number:
Name Change (business and/or individual) Change Contact Information
Officer Change (Corporation) Cancel/Close License
Change Business Address (physical/mailing) Duplicate License Request
$2.00 fee to be charged to any address change and/or duplicate license. ( YLMC Section 5.08.130)
New Business Name
Owner Name (new)
Name:_______________________________________________ Title:_____________________________
___ Add
___Remove
Name:_______________________________________________ Title:_____________________________
___ Add
___Remove
Street Address
City State Zip Code
Street Address or P.O. Box
City State Zip Code
Primary Phone Number Primary Email Address
Alternate Phone Number Fax Number
Closing Date: _____________________________ Will a new owner be taking over business? _____Yes _____No
I declare under penalty of perjury, that the above information is true and correct to the best of my knowledge.
Owner Signature: ______________________________________________ Date:_________________________
Print Name:___________________________________________________ Title:_________________________
CHANGE REQUEST FORM
CITY OF YORBA LINDA
BUSINESS LICENSE/FINANCE DEPARTMENT
4845 Casa Loma Avenue
Yorba Linda, CA 92886
(714) 961-7145 Fax: (714) 985-9407
NEW CONTACT INFORMATION
CANCEL/CLOSE LICENSE
LICENSE INFORMATION
SELECT TRANSACTION TYPE
NAME CHANGE
COROPORATE OFFICER CHANGE
NEW BUSINESS ADDRESS
NEW MAILING ADDRESS (IF DIFFERENT FROM BUSINESS ADDRESS)
Processed by: _____
Date: ____________
*Office Use Only
Planning Approval:
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Name Change (business andor individual) Change Contact Information (City of Yorba Linda)

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Completed 25 March 2021

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