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Click ‘Get Form’ to open it in the editor.
Begin by entering your Seller’s Permit Number at the top of the form. This is essential for identification.
In Section I, provide your new business location details, including street, city, state, and zip code. Ensure you do not use a PO Box.
Fill in the date you moved to the new location and any additional sublocation information if applicable.
Complete your daytime phone number and fax number in the designated fields.
In Section II, indicate if there has been a change in ownership or DBA (Doing Business As) name. If yes, provide the new owner’s name and business name.
Sign and date the form at the bottom. Make sure to include your title and daytime phone number.
If more space is needed for additional information, utilize the provided section or attach extra pages as necessary.

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