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Pennsylvania - State of Innovation

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KOZ Change of Status

Fields marked with * are required.

KOZ File Number: (8 digit number assigned by DCED)
KOZ Applicant Name: * (as listed on original application)
KOZ Address
Address: *
City: *
State: *	PA
Zip/Postal Code: *
Parcel ID Numbers:
Contact Name: *
Mailing Address
Address: *
City: *
State: *
ZIP/Postal Code: *
Effective Date:
Choose a Reason and Explain:
RelocationClosureBusiness Name ChangeLocal Non-Compliance SaleDeathApplication Type Change (i.e. Business becomes property owner only, parcel number change, address change)
Explanation: *