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Business License Inactivation Form

2. Please complete this form if you would like to inactivate your business license.

4. Business License Number*
5. Last Four of SSN or FEIN*
9. Business Name*
11. Inactivation Reason
    -- Select One --Business Closed No Longer in Ridgecrest
12. Inactivation Date (Closing Date):*
    Inactivation Date (Closing Date):
14. Additional Information
18. Date*
    Date
20. Full Name of Authorized Parties*

    Please note your name must already be on the license in order to inactivate the business license.

Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit Submit and Print

* indicates a required field