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Going Out of Business Sale 2012 Application To: Town of: Date of application: Town Clerk Wappinger / / --- 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, Water; or A Defunct Business Sale Received by: Christine Fulton Jessica Fulton D D 2010-08-15 JCM Town of Wappinger Application for "Going Out of Business Sale" FOR INTERNAL USE ONLY Date Received: / / Serial #: Check one of the following: D 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) D 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) D 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) Part 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 a. Address of Principal Office in New York b. Names and Addresses of All Officers c. Whether Controlling Interest in Applicant was Transferred Within Last 6 Months: D YES D NO f) Name and Address of Person or Persons who will be in charge and responsible for conduct of sale g) Exact Address at which Sale is to be Conducted h) Length of Time Applicant has been in Business at said premises i) Date on which Sale is to Begin ~ ~_ j) Nature of Occupancy where Sale is to be held (whether by lease or otherwise) k) Effective Date of Termination of Occupancy ~~_ 1) Reason for Sale m) Descriptive Name for Sale n) If Box A or C has been checked, state: a. Whether business is to be terminated permanently or reopened at another location b. Address at which business is to be reopened c. Whether Applicant intends to resume operation of business upon termination of sale D YES D NO d. Name or Designation under which such business is to be resumed 0) Attached and made a part hereof is a full, complete, detailed and itemized inventory of goods to be sold (hereafter referred to as "Inventory" p) If Box 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 obtained by Applicant from previous owner q) If Box C has been checked and Applicant was not the owner of the goods to be offered for sale at the time ofthe 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 the trustee, receiver, assignee for benefit of creditors, referee in bankruptcy, or the personal representative of the decedent. 2010-08-15 JCM Part 2 Applicant's Representations: a) No goods, wares and merchandise will be added to the Inventory after the filing of this Application with the Town Clerk b) Any goods, wares and merchandise that have been purchased for resale were so purchased on orders without cancellation privileges, and none of the goods, wares and merchandise purchased for resale were purchased on consignment c) No goods, wares and merchandise listed in the Inventory have been the subject of a licensed sale conducted within one year prior to Date of Application, unless they were damaged by fire, smoke or water while in Applicant's possession Applicant's Name: Signed By (printed): Title: State of New York, County of SS: (Name) being duly sworn, deposes and says: (check one of the following) D Individual Verification Deponent is the Applicant named in the above Application; deponent has read the foregoing Application and knows the contents thereof; 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. D Corporate Verification Deponent is of a corporation, the Applicant named in the above Application; deponent has read the foregoing Application and knows the contents thereof; and the same is true to deponent's own knowledge, except as to the matters therein stated to be alleged upon information and belief, and as to those matters deponent believes it to be true. This verification is made by deponent because the Applicant is a corporation and deponent is an officer thereof. Signed: Name (printed): Dated: , 20_ Wappingers Falls, N.Y. Sworn to before me this _ day of ,20_ Notary Public 2010-08-15 JCM 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 "defunct business sale" shall include a full, complete, detailed and itemized inventory of the goods, wares and merchandise to be offered at such sale as discussed by applicant's records, which inventory shall: a) Itemize the goods, wares and merchandise to be offered for sale with sufficient information concerning each item, including quantity, make, brand name, model and manufacturer's number, if any, to clearly identify it: 2010-08-15 JCM b) Separately list those goods, wares and merchandise to be offered for sale which were purchased and received during a 90 day period immediately prior to Date of Application: c) List the total retail value of the inventory of goods, wares and merchandise to be offered for sale based on the inventory used for applicant's most recent federal income tax return adjusted for sales and purchases: