Business Closing or Moving Out of County - Contact Form

Business Closing/Moving Out of Palm Beach County

"*" indicates required fields

Business Tax Receipt (BTR) Number*

Name*

First Last

Business Name*

Business Address*

Street Address City State ZIP / Postal Code

Date Business Closed/Moved Out of County/Professional Left Location*

Email*

Phone*

Additional Info

Acknowledgement*

I acknowledge that submitting this form will cause the deactivation of my business tax receipt.

Yes

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Business Closing or Moving Out of County – Contact Form

Business Closing/Moving Out of Palm Beach County

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