Suspension-Modification Form

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Step 1 of 3

Old Business Name

Form Completion Date

Old Business Transfer Date

New Business Name

With this request, I confirm that the account specified above (named Old Business Name, regarding its relevant details) should be suspended from the HMVS system.
With this request, I confirm that the account specified above (named Old Business Name, regarding its relevant details) should be modificated to the HMVS system, according to the new data I submit.

Comments

Reasons for change