Independent Business Cancellation Form PDF Details

Small businesses are the backbone of the United States economy. In fact, according to statistics from The U.S. Small Business Administration, small businesses make up 99.7% of all employer firms in the country. Unfortunately, even small businesses can find themselves in a difficult financial situation and may need to cancel their business license or terminate operations. If this is your situation, you will need to file an Independent Business Cancellation Form with your state's Secretary of State office. This form allows you to officially terminate your business and cancel any associated licenses or permits. Read on for more information about how to complete this process.

This figure provides information about independent business cancellation form. You might want to look at it before typing in the form.

Form NameIndependent Business Cancellation Form
Form Length1 pages
Fillable fields0
Avg. time to fill out15 sec
Other namescancellation rep fax, my acn account, what cancellation acn payed, owner cancellation form

Form Preview Example


You MUST complete this form (date, name, address, rep id#, start date & signature) and fax it to (704) 260-3652. It MUST be faxed within 10 business days from your start date to receive a refund of $499.

Today's Date: ____________________

To Whom It May Concern:

My name is ____________________________________________________.

My address is __________________________________________________.

My IBO # is ____________________. My start date was________________.

At this time ACN is not a fit for me. I would like a full refund placed back to my credit card.

Thank you,


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