Change of Business Form

Please complete this form to report a business name change, sale, closure, or bankruptcy filing.

Business Information

Business Name *

Owner *

Account Number *

Business Phone *

Street Address *

Mailing Address *

City *

State *

Zip *

Contact Information

First and Last Name *

Phone Number *

Email *

Purpose of Change

Select the purpose of change *

Business Name ChangeSold BusinessClosed BusinessFiled Bankruptcy

Business Name Change Details

Previous Business Name *

New Business Name *

Agreement and Signature

Transacting Business Electronically and Signing Documents - When using this Service, you agree to transact business using electronic communications, electronic records, and optionally electronic signatures rather than using paper documents. You may choose to add your electronic signature on any documents you send or that are sent to you. By using the service, you agree to use an electronic signature in lieu of a paper-based signature. You understand that recent legislation such as E-Sign and UETA have provided electronic signatures the legal equivalence of handwritten signatures on paper (just like your signing a piece of paper) and thus legally binding in the United States and in other countries. However Iron County does not make any warranties or guarantees as to the enforceability of E-Sign and UETA legislation for transactions and documents. You further agree not to electronically sign a document without first reading it, thus demonstrating that you are able to access the electronic information contained therein. You agree that you are aware that according to E-Sign you are not required to sign electronically if you prefer not to do so.

Signature *

Type your full name