Lilburn, GA · Gwinnett County
Notice of Business Closure Form
This form lets a Lilburn business owner or authorized agent report that a business has closed and provide its closure date and contact details.
What this form is
Use this form to notify Lilburn that a business has ceased operating, including when the business has been sold and the new owner will continue using its licensed business name. It asks for the occupational tax certificate number, business and owner details, location, contact information, closure date, and business description. The owner or authorized agent signs it; a new owner continuing the name must also submit a new business license application, and the owner must notify the Gwinnett County Tax Commissioner.
Who needs it
A business owner or authorized agent should submit this form to report a business closure, including a sale where the new owner continues using the licensed business name.
How to submit it
Return it to the Business Services Department by mail at 340 Main Street, Lilburn, GA 30047; hand-deliver it to the first floor at that address; or email [email protected].
About notarization
This document is signed without a notary; the owner or authorized agent signs and dates it, and no notarized attachment or related step is identified.
How to submit this form
- 1
Download the Form
Download the Notice of Business Closure Form PDF.
- 2
Complete the Form
Print the information legibly in dark ink, including business details, closure date, and current owner or authorized agent contact information.
- 3
Sign and Date
Have the owner or an authorized agent sign and date the statement.
- 4
Submit to Lilburn
Return the form to the Business Services Department by mail, hand delivery, or email.
Frequently asked questions
- What is the Notice of Business Closure Form for?
- It tells Lilburn that a business has ceased operating and records details such as its occupational tax certificate number, business name, location, closure date, and contact information.
- Do I need a notary for the Notice of Business Closure Form?
- No. The owner or authorized agent signs and dates this form; it does not identify a notarized attachment or related step.
- How do I submit the Notice of Business Closure Form?
- Return it to Lilburn's Business Services Department by mail or hand delivery at 340 Main Street, Lilburn, GA 30047, or email it to [email protected].
- What else is required if the business has been sold?
- If the new owner will continue using the licensed business name, the new owner must also submit a new business license application. The business owner must also submit a closure notice to the Gwinnett County Tax Commissioner.
Need something notarized?
This Notice of Business Closure Form doesn’t need a notary — but if you have another Lilburn form that does, a commissioned online notary can help.
