FULL BUSINESS NAME:
TRADE NAME:
OWNERSHIP TYPE: (Check One)
Sole Proprietor
Partnership Limited Liability Corporation
Corporation
Other (Specify):
Please check all Newport News city tax account records for which you are requesting an address change. Failure
to provide this information could result in your account(s) not being accurately updated.
Business License Tax
Food and Beverage Tax
Business Personal Property Tax Transient Room Tax
Machinery & Tools Tax Admissions Tax
Daily Rental Tax
If the business moved from Newport News to outside of the city, you are required to complete the Business Closings section on the
reverse side of this form. If you need assistance, please contact the Business License Department at (757) 926-8651.
Old Business Location Address: New Business Location Address:
Address
Address
Address
Address
City State Zip Code
City State Zip Code
Old Mailing Address: New Mailing Address:
Address
Address
Address
Address
City State Zip Code
City State Zip Code
New Business Phone: ( )
New Business Fax: ( )
Name & Title of Owner / Authorized Agent (Please Print ):
Signature of Owner / Authorized Agent: DATE:
OFFICE USE ONLY
(Do not write below this line)
Dept. forwarded to:
New Zone: Pending: Processed: Verified: Filed:
BUSL-RTX COA/CLSD FORM #2 Revised 11/20
click to sign
signature
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