Marshall County Occupational License Tax For Schools    
                                                    Request to Close Account  
                                      Return Form to:  MCBOE, Tax Office, 86 High School Road, Benton, KY 42025 
                                         www.marshall.kyschools.us  “Occupational License Tax” Link 
(270) 527-6759 phone                                                                            (270) 527-0804 fax 
 
Business Name: _______________________________________________________________________  
 
Federal Employer ID#: ________________________ or SSN: __________________________________ 
 
Date All Business Activity was Discontinued/Ceased within the Marshall County School  
District: _____________________________________________________________________________  
 
Date Business Last Paid Wages to Employees in Marshall County, Kentucky: _____________________  
 
Reason for Closure Request: (business sold, closed, etc.): ______________________________________ 
 
____________________________________________________________________________________  
 
____________________________________________________________________________________  
 
Current Owners Forwarding Address: ______________________________________________________  
(Business site &/or local address)        
                                       ______________________________________________________  
 
Mailing Address (if different from above):  _________________________________________________ 
 
                                                                      _________________________________________________  
 
Telephone Number: ______________________________ Fax Number: __________________________  
 
If business is under new ownership, please provide new information below: 
 
Name: __________________________________  Phone Number _______________________________  
 
Other Information: _____________________________________________________________________  
 
I certify that all business activity has ceased with the Marshall County School District (i.e., business has been 
sold, closed, transferred ownership, merged with another entity, etc.) as of the date above.  I understand that the 
closing of this account shall in no way relieve the owners of this business from any Occupational License Fees 
due the Marshall County School District currently, or in the future. 
 
______________________________________    _________________________     _________________  
Signature                                                 Title                     Date