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TOWN OF TRINITY
P.O. BOX 302
DECATUR, AL 35602
PHONE (256) 351- 4618
CHANGE OF ADDRESS FORM
BUSINESS ACCOUNT NUMBER: ________________
BUSINESS NAME: _________________________________________________________
OLD MAILING ADDRESS: __________________________________________________
CITY, STATE, ZIP CODE: ___________________________________________________
NEW ADDRESS INFORMATION
BUSINESS NAME: _________________________________________________________
NEW MAILING ADDRESS: __________________________________________________
CITY, STATE, ZIP CODE: ___________________________________________________
NEW PHONE NUMBER: AREA CODE_____-_____-_________
CONTACT PERSON: _______________________________________________________
EMAIL ADDRESS: ________________________________________________________
PHYSICAL LOCATION: _____________________________________________________
CITY, STATE, ZIP CODE: ____________________________________________________
OUT-OF-BUSINESS-NOTIFICATION
DATE OF BUSINESS CLOSING / BUSINESS SOLD (IF APPLICABLE)________________
SOLD TO / IF APPLICABLE____________________________________________________
NEW OWNERS MAILING ADDRESS: ____________________________________________
NEW OWNERS CITY, STATE, ZIP CODE: _________________________________________
NEW OWNERS PHONE NUMBER: AREA CODE______-______-________
Signature _________________________________________ Date _______________________
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