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Business Closure Form

  1. Business Closure Form

    This form is ONLY to be used if the business operating/doing business within the city limits of Rogers has ceased operations permanently, or moved out of the jurisdiction. A separate form will be required for multiple closed business locations.

  2. Business Information
  3. Closure Details
  4. If the business has changed ownership, please fill out the following information below on the new owner:
  5. I hereby certify that I am not doing business at the above business address and declare under penalty of perjury, that I am authorized to complete this application. To the best of my knowledge and belief, the provided information is true and correct.

  6. Leave This Blank:

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