Sample Application
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Town of
Application for License pursuant to
New York General Business law, Article 29-F,
to Conduct Closing Out Sale; or
A Sale of Goods Damaged by Fire, Smoke or Water; or
A Defunct Business Sale
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To: Town Clerk
Town of
Date of Application
Check one of the following:
_ A. This is an Application for a license for a "closing out sale."
(Application must be filed at least 15 days prior to date on which sale is to commence.)
_ B. This is an Application for a license for a "sale of goods damaged by fire, smoke or water."
(Application may be made at any time prior to the date on which 'sale is to commence.)
_ C. This is an Application for a license for "a defunct business sale."
(Application must be filed at least 15 days prior to date on which sale is to commence.)
1. a. Name of Applicant
b. Address of Applicant
c. Name of true owner of goods to be sold
d. If Applicant is a partnership, names and addresses of all partners
e. If Applicant is a corporation, date and place of incorporation
i. Address of principal office in New York
ii. Names and addresses of all oHicers
iiI. Whether controlling interest in Applicant was transferred within last 6 months _ Yes _ No
2. Name and Address of person or persons who will be in charge and responSible for conduct of sale
....
3. a. Exact address at which sale is to be conducted
b. Length of time Applicant has been in business at said address
4. Date on which sale is to begin
S. a. Nature of occupancy where sale is to be held (whether by lease, or otherwise)
b. Eff~ctive date of termination of occupancy
6. Reason for sale
7. DescriDtive namp. nf R~Il:l
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8. If Box at A Or C has been c1lcckC'd, 5talc:
a. Whether business is to be terminated permanently or reopened at another location
b. Address at which business is \0 be reopened
c. Whether Applicant intends to resume operation of business upon termination of sale _ Yes _ No
d. Name or designation under which such business is to be resumed
9. Attached and made a part hereof is a full, cornplete. detailed and itemized irwentory of goods to be
sold (hereafter referred to as "Inventory").
, O. If Box at B has been checked and Applicant was not the owner of the goods to be offered for sale at
the time they were damaged, Applicant must attach to this Application copies of the bill of sale and all
other documents connected with such transfer oblained by Applicant from prC;tvious owner. .
11. If Box at C has been checked and Applicant was not the owner of tile goods to be oHered for sale at
the time of the occurrence of the circumstances warranting the termination of such business, Applicant
must attach to this Application copies of the bill of sale and the official appraisal made by tile trustee,
receiver, assignee for benefit of creditors, referee in bankruptcy, or the personal representative of the
decedent.
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Applicant's Representations:
12. No goods, wares and merchandise will be added to the Inventory after tile filing or this Applicalion
with the Town Clerk.
13. Any goods, wares and merchandise that have been purchased for resale were so purchased on or.
ders without cancellation privileges, and none of the goods, wares and m~rcl1al1dise purchased for
resale were purchased on consignment.
14. No goods, wares and merchandise listed in the Inventory have been the subject of a licensed sale
conduc~ed within one year prior to Dale of Application, unless they were damaged by fire, smoke or
water w.hile in Applicant's possession.
Applicant's Name
Signed by
Tnle
State of New York, County of SS: (Name)
being duly sworn, deposes and says: (check one of the following)
~ Indlvidual Verification
deponent is
the Applicant named in the above Application; deponent has read U1e fOl egoing Application and knows
the contents tl1ereof; the same is true to deponent's own knowledge, except as to the matters therein
stated to be alleged on information and belief, and as to those matters deponent believes it to be true.
_ Corporate Verification
deponent is the of
a corporation, the Applicant named in t11e above Application;
deponent has read the foregoing Application and knows the contents thereof; and the same is true to
del?onent's .own knowledge, except as to the mallers therein stated to be alleged upon information and
behef, and ~s to those matters deponent believes it to be true. This verification is made by deponent be-
cause Applicant is a corporation and deponent is an officer thereof.
Signed:
(Also print name under this line)
Sworn to before me on
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Inventory
, Applicant
General Business law Section 583 requires that the Application to conduct a "closing out sale" or a
"sale of goods damaged by fire, smoke or water" or a "deruncl business sale" shall include a full, com-
plete, detailed and itemized invenlory of the goods, wares, and merchandise to be oHered at such sale
as disclosed by applicant's records, which inventory shall:
(i) Itemize the goods, wares and merchandise to be offered for sale with sullicienl information concern-
ing each item, including quan\ily, make, brand name, model and manulaclurer's number, if any, to clear-
ly identify it:
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(ii) Separately Iisl those goods, wares and merchandise to be orrered lor sale which were purchused and
received during a 90 day period immediately prior 10 Date of Applicalion:
. .
(iii) List the total retail value of the inventory of goods, wares and merchandise to be offered ior sale
b~sed on the inventory used for applicant's most recent federal income tax return adjusted for sales and
purchases:
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