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Click ‘Get Form’ to open the Abandonment Affidavit in our editor.
Begin by entering the date in the designated field at the top of the form.
Fill in your name as the permittee, followed by your trade name and complete address in the respective fields.
In the statement section, clearly indicate that neither you nor your backer purchased anything from the previous permit holder. Ensure both names are accurately filled out.
Affirm that neither you nor your backer received any benefits from the predecessor for abandonment. Again, fill in both names as required.
Sign and date where indicated at the bottom of the form. If applicable, have a notary public or authorized representative sign as well.
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Related links
STATE OF CONNECTICUT ABANDONMENT AFFIDAVIT
STATE OF CONNECTICUT ABANDONMENT AFFIDAVIT. Telephone: (860) 713-6210 Email: dcp.liquorcontrol@ct.gov abandonment of permittee/backer.
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