CITY OF GRAND JUNCTION -- ACCOUNT CHANGE OR CLOSURE FORM 
 
ACCOUNT NAME________________________________________________________________ ACCOUNT #_________________________

 (1)______Mailing Address Change 
 
(2)______Business Location Change  New Address:  ________________________________________________________________________________________________ 
                  
                 (If your business moves to a location outside of the City limits and all business is conducted outside the 
                 City limits, you need to close your account--see (5) below.)             New Location:  ________________________________________________________________________________________________ 

(3)______Business Name Change (not ownership change) 
 
                (If you have an ownership change where the ID # in the form of Social Security # or Federal 
                Identification Number (FEIN) changes you must complete (4) below.)  New Name:  ____________________________________________________________________________________________________ 
 
(4)______Business Entity and/or Ownership Change 

                 New Type: ____________Individual  ____________Partnership  _____________LLC   ____________Joint Venture 
                 ____________Corporation  ____________Non Profit Corporation     ____________Other____________________________ 
                (ID # is Social Security # for individual entities or Federal Identification Number FEIN for all others.)    
                NEW ID # ______________________  

 (5)______Business/Account Closure Closure Date of Old Business ______/______/______   Starting Date of New Business _______/_______/_______ 
                 (You must file all outstanding returns in order to close your sales tax account. You must file even if no 
                 tax was collected.)                 Closure Date ______/______/______ Reason for Closure_______________________ 
                 
(6)______Request for Change in Filing Status:      FROM 
                TO                                                                                 Reason for request
                                                                                  _______monthly _______quarterly _______annual 
(7)______ I choose_______notmonthly_______to use the Cityquarterly_______of Grand Junctionannual   provided sales tax booklets.: _________________________________ 
                  I understand that a booklet will not be mailed to me next year. 
                  (Forms other than the booklet provided by the City must conform to the City's return format and 
                 include the filing period, due date, and account number in order to be accepted for processing.) 
 
Name of Person Completing This Form _________________________________________ Title _________________________________ 
Today's Date _________________________ Telephone # __________________________ Under penalties of perjury, I declare that I have examined this Account Change or Closure Form and it is true and correct to the 
 best of my knowledge and belief. 
 
Signature _________________________________________________________________________________________________________________ 

Call (970) 244-1521 with questions.     City processing date ______/______/______ Initials ______________ 
 
Account Change/Closure Form (9/2013)