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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. 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.

  5. Leave This Blank:

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