Business License Hold/Termination Form
Business License No. Business/Trade Name: Address: City: State: Zip: Telephone Number: Reason For Business Closed Service Canceled Owner Changed Effective Date New Owner's Name: Address: City: State: Zip: Telephone Number: Owner's Name: (Person Completing this Form) Phone: Address: Date: Signature PLEASE NOTE: Future requests for a business license requires a new application and approval OFFICE USE ONLY Memo: Outstanding Obligations to DLCA $ _________________ Approved By: _________________ Government of the Virgin Islands Tel. 340-718-2226 Department of Licensing and Consumer Affairs Fax 340-718-6982 3000 Estate Golden Rock Christiansted, VI 00820 BUSINESS LICENSE HOLD/TERMINATION FORM Please give a breif explanation for the action taken: Business No.: License Category: (list categories to be held or terminated) Termination Hold APPLICATION PRESENTED UNDER NEW ENTITY.
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Original source: https://dlca.vi.gov/forms/pdf/BUSINESS_LICENSE_HOLD_TERMINATION_FORM.pdf
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Business License No. Business/Trade Name: Address: City: State: Zip: Telephone Number: Reason For Business Closed Service Canceled Owner Changed Effective Date New Owner's Name: Address: City: State: Zip: Telephone Number: Owner's Name: (Person Completing this Form) Phone: Address: Date: Signature PLEASE NOTE: Future requests for a business license requires a new application and approval OFFICE USE ONLY Memo: Outstanding Obligations to DLCA $ _________________ Approved By: _________________ Government of the Virgin Islands Tel. 340-718-2226 Department of Licensing and Consumer Affairs Fax 340-718-6982 3000 Estate Golden Rock Christiansted, VI 00820 BUSINESS LICENSE HOLD/TERMINATION FORM Please give a breif explanation for the action taken: Business No.: License Category: (list categories to be held or terminated) Termination Hold APPLICATION PRESENTED UNDER NEW ENTITY.