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2. Everett Account Number *

   This is separate from your UBI and is located on your City of Everett business license 

4. UBI Number *
6. Last date of business operations in Everett*
   Last date of business operations in Everett
8. Did you sell your business *
   -- Select One --YesNo
10. If yes, please provide name and UBI of purchaser*
12. Declaration*

    If you are uncertain about the status of your account, please email businesstax@everettwa.gov prior to submitting this form. 

    Please check all the boxes to declare that:  

    1. I am a governing person or authorized representative of this business making this change;
    2. The answers contained, including any accompanying information, have been examined by me and are true, correct, & complete; and
    3. I confirm that all tax and licensing requirements up through the date of closure have been filed and/or paid.
14. First and Last Name *
16. Email address *
18. Phone Number*
Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit Submit and Print

* indicates a required field