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Online Account Change Form
Sales and Use Tax Division


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CITY OF LAKEWOOD ACCOUNT CHANGE FORM
   
License Number*: 
Business Name*:
Address*:
City*: 
State*:
Zip Code*:
   
Business Name Change
Business Address Change
Mailing Address Change
Phone Number Change
Request to Change Filing Status
Termination of Sales/Use Tax License
Request for Consolidated Filing
Reprint Sales/Use Tax License
Reprint Returns
Other
                                     Month            Day         Year
Effective Date of Change*:     
   
Request to Change:
Authorized Agent* Title*
 
Phone Number*

*indicates required fields