New york surrender form 2026

1. Click ‘Get Form’ to open the New York Surrender Form in our editor.
2. Begin by entering your Business Name and Business Address in the designated fields. Ensure that these details are accurate as they will be used for any correspondence.
3. Fill in the DCA License Issued Date, DCA License Number, CAMIS Number, and DCA License Plate Number. These identifiers are crucial for processing your surrender request.
4. In the section asking why you are surrendering your license, provide a clear explanation. This helps clarify your intent and may assist in processing your request.
5. Indicate whether you will be vacating the premises by selecting 'Yes' or 'No'. If applicable, provide the name of the new occupants and their business type.
6. Lastly, enter the mailing address where a refund will be sent if you qualify. This ensures that any refunds are directed to the correct location.
7. Sign and print your name at the bottom of the form, along with your title (if any) and date. This step is essential for validating your submission.

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