Forms • Mount Pleasant, SC • CivicEngage

Business License Notification of Change Form- This form should only be used to change an address or provide notification of business closure/sale

Leave This Blank:

Business License Account Number*

Name on Original Business License *

Is Business Closing?*

Yes

If closing, what is the effective date

Is business being sold?

If business is being sold, what is the name of the new owner?

If the business is being sold, what is the date of sale?

If the business is being sold, what is the phone number for the new owner?

If the business is being sold, what is the email address for the new owner?

New Business Name

New Physical Street Address

New Physical Address (City)

New Physical Address (State)

New Physical Address (Zip Code)

New Mailing Address

New Mailing Address (City)

New Mailing Address (State)

New Mailing Address (Zip Code)

Date Business Moved

Business Phone Number

Signature *

Date *

Title of signer *

Email address *

Contact phone number *

* indicates required fields.