Application for Information Change - City of Cape Girardeau, Missouri

City of Cape Girardeau, Missouri

401 INDEPENDENCE
P.O. BOX 617
CAPE GIRARDEAU, MO 63702
Phone: 573-334-1332 Fax: 573-335-7946

Application for Information Change
(This form must be submitted to the City Finance Department if the status of your business changes)

City of Cape Girardeau Seal

Information Change(s) Requested:

____ Change of Address
____ Change of Mailing Address
____ Change of Name

Business Name_____________________________________________

Merchant #___________

1.	New Business Name:___________________________________________________ Previous Business Address: ______________________________________________
2.	New Business Address: _________________________________________________ Previous Business Address: ______________________________________________
3.	New Mailing Address: __________________________________________________ Previous Mailing Address: _______________________________________________

Managing Officer:_____________________________
Address _________________________________________________________________

Business Telephone Number: _________________________

Type of Business ______________________________________

Return Application to:
City of Cape Girardeau
P.O. Box 617
Cape Girardeau, MO 63702-0617
Fax #: 573-335-7946

___________________________
Signature of Applicant

___________
Date

ZONE_____________________

____________________________________
City Collector

_________________
Date