CHANGE OF BUSINESS STATUS

 

To:      Clay County Property Appraiser

            P.O. Box 38

            Green Cove Springs, FL 32043

 

Taxpayer:        _________________________________________

                        _________________________________________

_________________________________________

 

Account number: ________________________

 

Please check the appropriate box(s):

 

Business Permanently Closed.  I(we) closed the business with the above account number, and retired the personal property.  The business was closed on (date) _____________.

 

Business Sold.  I(we) sold the business with the above account number, to the buyer named below.  The business was sold on (date) ____________.

 

Buyer   ________________________________

 

Buyer?s address:

 

 

 


Moved.  I(we) moved the business with the above account number, and all of the taxable personal property out of Clay County.  The business was moved on (date) ____________.

 

New address:

 

 

 

 


Other Change.  Please describe change.

 

 

 

 


Under penalties of perjury, I declare that the forgoing information is true to the best of my knowledge.

 

Date______________    Title_____________________________________

 

Signed_______________________________________________________