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MEDALLION STORAGE RECEIPT - New York City

MEDALLION STORAGE RECEIPT - New York City 2026

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The document is a Medallion Storage Receipt form that allows medallion owners to officially place their credentials in storage. It outlines the process for submission, the consequences of not operating for 60 consecutive days, and the requirements for removing credentials from storage. Additionally, it includes instructions for agents managing the medallions and specifies necessary documentation for retrieval.

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Click ‘Get Form’ to open the MEDALLION STORAGE RECEIPT in the editor.
Begin by entering the 'Name of Medallion Owner' in the designated field. This is crucial for identifying who is placing the medallion into storage.
Fill in the 'Date placed into storage' by selecting the appropriate day, month, and year from the date picker.
Input the 'Medallion No' and 'Rate Card' numbers accurately to ensure proper documentation.
In the section labeled 'Reason for placing credentials in Storage', provide a brief explanation for why you are placing your credentials in storage.
Complete the signature section by signing your name, printing it clearly, and adding today's date.
If applicable, agents must submit a statement on their letterhead confirming their status as an agent for the medallion owner.

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Versions	Form popularity	Fillable & printable
2021	4.9 Satisfied (29 Votes)
2015	4 Satisfied (58 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How much does a New York City medallion cost?

Medallions are renewed every two (2) years.

What is the value of NYC medallions?

Agents - Medallions face a lease cap of $800 per week or $41,600 per year. Corporate medallions now sell for $850,000. A 15 year loan with a 4.5% interest rate3 on $765,000 (90% of the price of the medallion) costs $70,226 per year to service4.

How much is a New York City medallion worth?

Current medallion values and TLCs role in the market Current medallion values range from $90,000 to $200,000. TLC does not forecast or influence medallion values directly. There were 777 medallion transfers in 2023 and 1,003 in 2024.

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