CITY AND COUNTY OF DENVER                                                       TREASURY DIVISION 
                                                                                                   WELLINGTON WEBB BLDG. 
                   DEPARTMENT OF FINANCE                                                           201 WEST COLFAX AVE, DEPT 403 
                                                                                                   DENVER, COLORADO,      80202-5329 
                                                                                                   FAX:  (720) 913-9475             
Michael B. Hancock                                                                                                                  
Mayor                         Account Change  OR Closure Request Form                                             
                                                                              
Please complete the form below reflecting all the requested changes to your business account(s): 
                                                                                                      
Account #:______________________________  Business Name:____________________________________________ 
                                                                                                                                   
Please indicate which account(s) the change or closure should be applied to: 
       Sales               Consumer's Use    Occupational Privilege                  Lodgers          FDA/TBT             E911 Fees  
             
Please provide the following information regarding the requested changes to the selected account(s): 
                                                                                                           
ACCOUNT CLOSURE: 
Date of business closure:________________________ 

        Out of business            Never began business               Opened account    in error   

        No taxable sales           Seasonal business    
        Business has moved out of Denver: BUT sales and employee activity in Denver will continue.              
        Sales & OPT accounts should remain        open  -please complete address change below) 
        Business and all employees      have moved out of     Denver: BUT sales activity in Denver will continue. 
        (Sales account should remain open  –please      complete address change below)              

        Business, employees       and all sales, services, or other taxable activity  have moved out of Denver. (Please   include the 
        new address below)                                                                  

        Business has been sold or changed ownership:          Date of business sale:____________________________________ 
        Name  of  new  owner:_____________________________________Phone#:_______________________________ 
        Address:_________________________________________ City/State/Zip:_______________________________ 

ACCOUNT ACTIVATION / REACTIVATION: 

        Closed     in error. Reactivate with original start date.     Activate new tax type for period:__________________           
        Business   Reopened. New Start Date:___________              

NAME, ADDRESS OR PHONE# CHANGE:                          

New Business Name:_______________________________________________________________(FEIN cannot change) 

New Address:__________________________________________City/State/Zip:________________________________ 
        Location Address             Mailing Address       Both Location &       Mailing Address 
New Phone #:_____________________________ 

In order to process any of the requested changes, the below information must be completed:  
                                                                                                                                   
Printed Name: __________________________________               

Contact Info (Email or Phone #): ________________________________________ 

SIGNATURE:____________________________________                        DATE:_________________________ 

2/2020