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Get NY Surrender Form

and would like to surrender it for a refund and/or request a transfer of your license to another individual/business, please complete the form below and attach your original license document. Business Name: Business Address: DCA License Issued Date: DCA License Number: CAMIS Number: DCA License Plate Number: Why are you surrendering your license? Will you be vacating the premises? If known, please provide the name of the new occupants and their business type. Mailing address where a refund wil.

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