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Nys dmv plate surrender form

New york surrender license form 2026

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The document is a petition form for the voluntary surrender of a liquor license or permit in New York, as per Section 127 of the Alcoholic Beverage Control Law. It outlines the process for licensees to request cancellation and potential refunds, requiring completion of specific questions regarding legal issues related to the licensee. The form must be signed by individuals or corporate representatives and includes sections for personal and corporate certifications.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the license or permit certificate number in the designated field. This is crucial for identifying your specific license.
Indicate whether the licensee or any associated individuals have faced legal issues in the past 12 months by selecting 'YES' or 'NO' for each question. If you answer 'YES', be prepared to attach an affidavit with details.
In Section A, if you are an individual or part of a partnership, ensure all members sign and date the form. For corporations, proceed to Section B and have an authorized officer sign and date accordingly.
Complete the FEIN field accurately, as this is necessary for processing any potential refunds.
Finally, specify the address where any refund should be mailed to ensure prompt delivery.

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