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CITY OF EL CERRITO BUSINESS LICENSE CHANGE OF INFORMATION / CLOSED BUSINESS FORM BUSINESS NUMBER Financial Services Division 10890 San Pablo Avenue El Cerrito, CA 94530-2392 Phone: (510) 215-4335 Fax: (510) 215-4379 TDD Relay: (800) 735-2922 www.el-cerrito.org STREET ADDRESS CITY ST ZIP PHONE FAX Business Name Former Mailing Address: New Mailing Address Email: Fill out below ONLY if Business is closing. All License fees must be current prior to closing business. Business Name: Owner Name: Phone E-mail: Date Business Closed: Reason: My Business has a new owner BUSINESS TYPE (circle) OTHER ID NUMBERS SUBMITTED BY BY OFFICE USE ONLY Sole Owner Partnership Corporation Limited Liability Corp. Non-Profit Federal Tax ID: Signature: Entered By: Contractor’s License: Print Name: Date: Sellers Permit Date: