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CITY CLERK’S OFFICE NEW ROCHELLE STATE LICENSE TO CONDUCT A SPECIAL SALE I the undersigned, hereby swear to the truth of the following statements: Name of Applicant: ___________________________________________________________________________________ (If partnership or corporation, give firm or Corp. name) Residence:________________________________________________________________________ Citizenship: Native Born_________ Naturalized ____________ Not a Citizen____________ Assumed or Trade Name( If any)___________________________________________________ True Owner of Merchandise to be Sold _____________________________________________ If applicant is Partnership or Corporation, give the following information for Partners or Officers: Name & Title: Residence: Citizenship Was controlling interest in corporation transferred in the past six months? (Y) __ (N)__ Date of Incorporation_________________ Principal Office ____________________________ Place of Sale__________________________________ Date of Sale__________ Time:_______ State time in business at said location: Years___________ Months_____________ Describe the premises where it is intended to conduct the sale, the nature of the occupancy, whether by lease or sublease, and the dates of beginning and termination of such occupancy: _________________________________________________________________________________ _________________________________________________________________________________ Is business to be reopened at another Location? _________ If so,where ?______________ _________________________________________________________________________________ Under what Name?_______________________________________________________________ State what type of sale is to be conducted:__________________________________________ Specify any and all mediums of advertising to be used: _____________________________ DUPLICATE COPIES OF ALL SUCH TO BE FURNISHED. Date proposed sale to begin: __________________(Term no longer than 30 days.) Reason for Sale:__________________________ specify type of goods, wares or merchandise to be offered for sale:____________________________________ Has a license ever been applied for or granted for the premises for which this application is made?________ if so, give date or dates:__________________________________________ NR 2016 Special Sale CITY CLERK’S OFFICE NEW ROCHELLE STATE LICENSE TO CONDUCT A SPECIAL SALE Has a special sale license heretofore issued to the applicant or for the premises ever been suspended or revoked? _____________________________________( This question applies also to every member of a partnership and all officers of a corporation, if the applicant is such.) I, further swear that the answer and statements in the foregoing application are true of my own knowledge and belief; that the inventory of goods, wares or merchandise accompanying this application is complete and true account of all such showing date of acquired, their source, character or type, quantity, cost per unit and that they merchandise enumerated in the attached inventory is owned by _____________________ and further, that the accompanying copies of advertisements, poster, placards, etc… are exact copies of all which it is proposed to be used in advertising the sale; that none of the stock described in the inventory will be added to during the period of the sale f or which the license is applied for, that no goods were part of a similar sale within the past year, and that none of the advertisements, etc., receiving the approval of the City Clerk will be added to, deleted altered or erased, either in whole or in part after such approval. Furthermore, it is agreed that in consideration of the granting of the license hereby applied for the applicant will comply with all the rules and regulations of Article 29F of the general Business Law that are now in force or that may in the future be promulgated; and that any false statement or answer contained in this application, or in the accompanying inventory, or in the accompanying advertising matter, will be sufficient cause for the revocation of the license, and will make the applicant liable to any other punishment provided by they law. I, understand that this license is to be issued pursuant to Article 29F of the General Business Law; and I will abide by the regulations contained there. Sworn and subscribed to before Me this _________ Day of ___________________ _________________________________________ Signature of Applicant ___________________________________________ Notary Public or Commissioner of Deeds FEES: ORIGINAL $500.00 / RENEWAL-CONTINUATION $50.00 Fees for Thirty(30) day sale period or less: $500.00 Original $50.00 Renewal Application and attached inventory form must be made in triplicate. Application must be filed at least 15 days before this sale (Saturday and Sundays not included) and approved by the City Clerk, after investigation before license may be issued. Fee is to be paid at time application is filed and is non- refundable. License No. ___________________ Receipt No. _______________________ For the Period of _____________________ to _________________________________ ______________________________________________, City Clerk NR 2016 Special Sale