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Business Closure Form

  1. Margaret S. Torrence
    Commissioner of Revenue
    Franklin County, Virginia
    1255 Franklin St., Suite 102
    Rocky Mount, VA 24151
    Phone: (540) 483-3083
    Fax: (540) 483-3089
  2. Is the business permanently closed?*
  3. Did the business move to another locality?*
  4. Enter your new physical business address
  6. Disposed of Assets?*
  7. Personal Use?*
  8. Sold?*
  10. Electronic Signature Agreement*
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  11. IMPORTANT MESSAGE: The Commission of Revenue office will contact you to obtain additional information needed to process this request.
  12. Leave This Blank:

  13. This field is not part of the form submission.