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Get NY DOS-1450-f-l-a 2010-2024

Visa for payment of fees. To pay fees using a credit card, simply complete and sign this form and attach it to your application. We process credit card payments upon receipt. Please PRINT CLEARLY in blue or black ink. APPLICANT’S INFORMATION Please enter the name of the person or company this payment is being made for. LAST NAME: FIRST NAME: MIDDLE NAME: COMPANY NAME: UNIQUE I.D.NUMBER (If applicable) CREDIT CARD INFORMATION NAME AS IT APPEARS ON CARD: STREET ADDRESS: APT / UNIT / PO BO.

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