Contact | Q & A | Topic | Free Ad    




Affidavit of Business Closure
When closing a business you must submit this Affidavit of Business Closure to legally declare that your business is no longer an operating legal entity. This document must be filled out and signed immediately upon business closure. If this document is not properly executed your business may be responsible for not having a valid business license.

Free Sample Template
Format: Word PDF
# of Pages: 1
Printable: Yes


Affidavit of Business Closure TemplateForm 1417
Format: Word PDF
Category: Business, Going Out of Business
Type: Affidavit
Affidavit of Business Closure


Name: ________________________________________________________________________________________

Address: ______________________________________________________________________________________

City: _____________________________________ State: ________________ Zip Code: ______________________

Phone Number: ________________________________________________________________________________

Permit Number: ________________________________________________________________________________

Federal ID #: ___________________________________________________________________________________

Phone Number: ________________________________________________________________________________

Date of Closure: ___/___/_____

Are you still operating a business inside the township limits? ___ Yes ___ No

If Yes, please furnish the Business Permit # and Location:

Permit Number: ________________________________________________________________________________

Address: ______________________________________________________________________________________

City: _____________________________________ State: ________________ Zip Code: ______________________

Was the business sold? ___ Yes ___ No

If Yes, please complete the following information:

Date the business was sold: ___/___/_____

Name of Buyer: ________________________________________________________________________________

Address: ______________________________________________________________________________________

City: _____________________________________ State: ________________ Zip Code: ______________________


Signature of Owner: ___________________________________________________________ Date: ___/___/_____