Questionnaire
You are filing for :
| Legal Name of Business Owner : |
| DBA Name (Doing Business As) : |
| SITUS (Location of Property) : |
DO ANY OF THE FOLLOWING APPLY TO THIS BUSINESS?
- The business has moved to a different location than what is shown above
- The business has been sold
- The business location has permanently closed (not moved to a new location)
- The business has been acquired and the above legal name is different
- The legal name of the business owner is different than what is shown above
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