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Business Transaction Affidavit-Complete if you are purchasing an existing business with an “ACTIVE” license, involving only a change of ownership.

This form does not need to be completed if your business is a new build or structure and has not previously been issued a license by the Ohio State Cosmetology and Barber Board.

Affidavit

State of Ohio, County____________________

I, hereby swear or affirm that an actual change of ownership has occurred regarding the business listed below.

Name of Business __________________________________ Current Business License # __________

Address __________________________________________________________________________

Signature of Applicant ________________________________________________

Signature of former Owner or Representative of Owner’s Estate in the event of death of Owner

____________________________________________________________________________ (both must be signed in the presence of a notary)

Subscribed in my presence and sworn to me this _____ ___day of ______________ year________.

___________________________________________ Notary Public (Commission Expiration Date Required)

NOTARY SEAL

Completed form must be scanned or photographed and uploaded with your electronic application for a business license with a "Change of Ownership".

Forms that are Mailed or Faxed will NOT be accepted.