Do I need a notary for the Massage Establishment Location Change Application?

No. The application has a signature and date field but no notary block; the signer certifies that the information is true and correct.

How do I submit the location change application?

The form lists Revenue Collections Operations, PO Box 1466, Mesa, AZ 85211-1466, and the Licensing Office at 55 North Center Street, Mesa, AZ 85201.

What information does the application request?

It asks for current and new establishment details, the new location’s effective date, mailing information, and information about controlling persons with at least 20% interest.

What if ownership has changed?

The form states that if ownership has changed, you must complete a full Massage Establishment Application.

Mesa, AZ · Maricopa County

No notary required

Massage Establishment Location Change Application

Massage establishment operators use this application to report a change of business location and provide updated establishment, ownership, and mailing details to Mesa.

What this form is

This application reports a massage establishment’s move to a new location and provides Mesa with current establishment information, the new address and effective date, mailing details, and information about controlling persons with at least 20% interest. It includes a $50 non-refundable application fee due when applying. If ownership has changed, the form says a full Massage Establishment Application must also be completed.

Who needs it

Operators of massage establishments changing locations should complete this application and provide controlling-person and ownership information.

How to submit it

The form lists Revenue Collections Operations, Mailing Address, PO Box 1466, Mesa, AZ 85211-1466, and the Licensing Office at 55 North Center Street, Mesa, AZ 85201. It states that a non-refundable $50 fee is due at application.

About notarization

This document is signed and dated without a notary; the signer certifies the information is true and correct, and no notarized attachment or step is stated.

How to submit this form

1
Download The Application
Download the Massage Establishment Location Change Application PDF.
2
Complete The Application
Enter current establishment details, the new address and effective date, mailing information, and controlling-person details.
3
Gather Any Required Application
If ownership has changed, complete a full Massage Establishment Application as directed on the form.
4
Submit To Mesa
Use the Revenue Collections Operations mailing address or Licensing Office address listed on the form; the stated non-refundable fee is $50.

Frequently asked questions

Do I need a notary for the Massage Establishment Location Change Application?: No. The application has a signature and date field but no notary block; the signer certifies that the information is true and correct.
How do I submit the location change application?: The form lists Revenue Collections Operations, PO Box 1466, Mesa, AZ 85211-1466, and the Licensing Office at 55 North Center Street, Mesa, AZ 85201.
What information does the application request?: It asks for current and new establishment details, the new location’s effective date, mailing information, and information about controlling persons with at least 20% interest.
What if ownership has changed?: The form states that if ownership has changed, you must complete a full Massage Establishment Application.

Need something notarized?

This Massage Establishment Location Change Application doesn’t need a notary — but if you have another Mesa form that does, a commissioned online notary can help.