City of Richmond                                                            
Finance Department 
P.O. Box 1268 
239 W. Main Street 
Richmond, KY  40476-1268 
859-623-1000  
859-624-2753 (FAX) 
 
                         REQUEST TO CLOSE  

              CITY OF RICHMOND BUSINESS LICENSE ACCOUNT 

Business Name:______________________________________________________ 

City Account #:_______________   Date All Business Activity Ceased:___________ 

Reason for Closure Request: (business sold, closed, etc) 

 ______________________________________________________________ 

 ______________________________________________________________ 

Current Owner’s Forwarding Address: __________________________________ 

      __________________________________ 

                     Phone Number: __________________________________ 

**If business is under new ownership, please provide new owner information below: 

      __________________________________ 

      __________________________________ 

      __________________________________ 

                     Phone Number: __________________________________ 

I certify that all business activity has ceased within the city limits of Richmond, 
Kentucky as of the date above. I understand that the closing of this account in 
no way relieve the owners of this business from any Occupational License Tax 
or Net Profit Tax due the City of Richmond currently, or in the future, from 
being paid. 

___________________________         ____________________ ____________ 

Signature     Title    Date