
LIC34 Licensing Supplemental Affidavit Application must be typewritten. 1 Convictions If you have been convicted of an offense explain fully in the boxes below. Date of Charge or Offense Name of Court and Location Sentence or Disposition 2 Penalties and Fines If you or the company/business with which you have been associated have outstanding penalties fines or fees owed to the City of New York list them below. Debtor New York City Agency/Authority Amount Owed 3 Statements and Signatures Indicates optional As a condition of being granted a License from the Department of Buildings I hereby comply with all New York City Administrative Code Provisions and Departmental Rule Regulations and Directives regarding how licensees conduct their specific trade. I understand falsification of any statement is a misdemeanor and is punishable by a fine or imprisonment or both. I also understand it is unlawful to give to a city employee or for a city employee to accept any benefit monetary or otherwise ....
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How to fill out the NY LIC34 online
The NY LIC34 form is a crucial document for individuals seeking a license from the Department of Buildings in New York City. This guide provides you with clear, step-by-step instructions on how to complete the form online, ensuring that you accurately fulfill all requirements.
Follow the steps to fill out the NY LIC34 online effectively.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin with section 1, 'Convictions'. If you have been convicted of an offense, provide details in the designated boxes, including the date of conviction, charge or offense, name of court and location, and sentence or disposition.
- Proceed to section 2, 'Penalties and Fines'. If you or any business associated with you owes outstanding penalties, fines, or fees to the City of New York, list the debtor's name, the New York City agency or authority involved, and the amount owed in the provided fields.
- In section 3, 'Statements and Signatures', acknowledge compliance with all relevant New York City Administrative Code Provisions and Departmental Rules. Fill in your last name, first name, middle initial, business name, telephone number, address, city, state, zip code, registration or license number, and your printed name.
- Complete the optional fields such as fax number, mobile telephone, and email if you wish to provide additional contact information.
- Sign the document and include the state and county where you are located. Enter the date of the signature and ensure that your signature is legible.
- If required, seek notarization by providing details for the notary seal and signature. Ensure all information is accurate and complete.
- After filling out the form, save your changes. You can download, print, or share the form as needed.
Complete your application process efficiently by filling out the NY LIC34 online today.
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How do I fill out an affidavit of service in NY?
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