Lic34 2025

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4.9 out of 5

498 votes

The document is a Licensing Supplemental Affidavit (LIC34) required for applicants seeking a license from the New York City Department of Buildings. It includes sections for disclosing any criminal convictions, outstanding penalties or fines owed to the city, and a statement affirming compliance with relevant regulations. The affidavit must be typewritten and includes personal identification details, a signature, and notarization.

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Click ‘Get Form’ to open the LIC34 document in the editor.
Begin with the 'Convictions' section. If applicable, enter the date of conviction, charge or offense, name of court and location, and sentence or disposition in the provided boxes.
Next, move to the 'Penalties and Fines' section. List any outstanding penalties, fines, or fees owed to the City of New York by entering the debtor's name, relevant agency/authority, and amount owed.
In the 'Statements and Signatures' section, fill in your last name, first name, middle initial, business name, telephone number, address details including city, state, and zip code. Optionally provide your mobile telephone and email.
Complete the registration/license number field and print your name. Ensure you sign where indicated and include notarization details as required.

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Versions	Form popularity	Fillable & printable
2008	4.9 Satisfied (498 Votes)

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