Closed or Sold Business Affidavit
If you do not have the Federal Employer Identification Number (FEIN), check here .
Please provide your forwarding address.

By signing this affidavit, the owner of the above named business attests to the fact that said applicant has been lawfully conducting a business in Stafford County, Virginia and has sold or closed the business. Details of this sale or closure are as follows:
Please provide the new business address
Please provide the new owner(s) information

(Enter your full name)