Finance Department
                                                                Sales Tax Division
                                                                500 E Third Street Suite 110 
                                                                Loveland, CO 80537
                                                                970.962.2708
                                                                970.962.2927 - fax 
                                                                lovelandgovernment.org/salestax 
                                                                salestax@cityofloveland.org

                    SALES TAX        ACCOUNT       CHANGE       FORM       

Date:______________                                City License #:___________________ 

Current Business  Name on  Account: __________________________________________________    

DBA: (Doing  Business As)____________________________________________________________      

Business Name  Change:_________________________DBA:________________________________        

Mailing   Address Change:___________________________________________________________       

License  Address Change:____________________________________________________________       

Business Telephone:_______________________Mailing  Telephone:_________________________     

Email Address:____________________________        

□ Business Address Change - Please complete an Address Change Application.

Closure Date:_______________      

If business sold, name and phone number for new  owner:_________________________________  

Effective Date of   Change:______________________  

Comments:_______________________________________________________________________ 

________________________________________________________________________________