Purcellville, VA · Loudoun County
Ceased Business Information
This form reports a business closure in Purcellville and is completed by a business contact providing closure and business details.
What this form is
Use this form to provide information about a business that has ceased operating in the Town of Purcellville. It asks for the trade name, business address, closure date, gross receipts through the closure date, and a mail forwarding address, along with a contact name, phone number, signature, and title. The form does not state when it must be submitted.
Who needs it
A business contact can use this form to report that a business has stopped operating in the Town of Purcellville.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the signer just signs and dates it, and the form lists no notarized or sworn attachment.
How to submit this form
- 1
Download The Form
Download the Ceased Business Information PDF.
- 2
Complete The Business Details
Fill in the trade name, business address, closure date, gross receipts, forwarding address, and contact information.
- 3
Sign And Date
Add the business contact's signature, title, and date.
- 4
Submit The Form
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What information does the Ceased Business Information form request?
- It requests the business trade name and address, the date operations ended, gross receipts from January 1 through the closure date, a forwarding address, and business contact and signature details.
- Who can use this form?
- A business contact can use it to provide information about a business that ceased operating in the Town of Purcellville.
- Do I need a notary for the Ceased Business Information form?
- No. The form has a signature and date field but no notary block, and it lists no notarized or sworn attachment.
- How do I submit the Ceased Business Information form?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Ceased Business Information doesn’t need a notary — but if you have another Purcellville form that does, a commissioned online notary can help.