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Get NY PPB-3 2011

NEW ADDRESS MUST BE FORWARDED TO THE SUPERINTENDENT OF THE STATE POLICE AND IN NASSAU COUNTY AND SUFFOLK COUNTY, TO THE LICENSING OFFICER OF THAT COUNTY, WITHIN 10 DAYS OF SUCH CHANGE. 4. ANY LICENSE ISSUED AS A RESULT OF THIS APPLICATION IS SUBJECT TO REVOCATION AT ANY TIME BY THE LICENSING OFFICER OR ANY JUDGE OR JUSTICE OF A COURT OF RECORD. JURAT: SIGNED AND SWORN TO BEFORE ME THIS , 20 DAY OF AT , NEW YORK SIGNATURE OF APPLICANT SIGNATURE OF OFFICER ADMINISTERING OATH THIS FORM APPRO.

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