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Click ‘Get Form’ to open the NYS Certificate in the editor.
Begin by filling in the Seller Information section. Enter the last name, first name, and middle initial of the seller, along with their mailing address, city, state, and ZIP code.
In the Purchaser Information section, certify that you have a valid New York State Certificate of Authority by entering your certificate number and stating your business engagement.
Check all applicable boxes in Part 2 to indicate whether this is a single purchase or blanket certificate and specify what you are purchasing.
Complete Part 3 by typing or printing your name as it appears on the certificate of authority. Include the name of an owner or officer authorizing the purchase, their title, and signature.
Finally, ensure all information is accurate before saving or exporting your completed form for submission.
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