Business Change of Address Form
P.O. BOX 250 | RICHMOND HILL, GA 31324
businesslicensing@richmondhill-ga.gov | FX: 912-756-3368
Please mail, fax, email, or bring your completed form to our office at 40 Richard Davis Drive.
Name: ________________________________________________________________________________________
Email: ___________________________________________ Phone: ____________________________________
Business Name: ________________________________________________________________________________
Business License No. ___________________________________________
Please Check All That Apply:
Change Mailing Address
Change Physical Address
Current Mailing Address:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_______________________________ __________________________ ______________________________
Curr
ent Physical Address:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_______________________________ __________________________ ______________________________
New Mailing Address:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_______________________________ __________________________ ______________________________
New P
hysical Address:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_______________________________ __________________________ ______________________________
__________
___________________________________________________ ___________________
OFFICE USE ONLY
Received Date: ________________
Sent to P&Z Date Received: ________________ Date Approved: ________________
Sent to RDS Date Received: ________________ Date Approved: ________________
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