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Get CA ABC-211-A 2001-2024

Nly. • Read instructions before completing. • All signatures must be notarized in accordance with laws of the State where signed. 2. LICENSE NUMBER 1. DISTRICT OFFICE 3. TRANSACTION TYPE Exchange Person to Person Transfer 4. LICENSEE’S NAME (Transferor/Seller) Premise to Premise Transfer Other 5. APPLICANT’S NAME (transferee/Buyer) 6. EXISTING PREMISES ADDRESS 7. LICENSEE’S MAILING ADDRESS (Transferor/Seller) 8. LICENSEE’S PHONE NUMBER ( ) I hereby request surrender of m.

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