Going Out of Business Sale 2012 Renewal
Received by:
Christine Fulton
Jessica Fulton
o
o
2010-08-15 JCM
Town of Wappinger
Application for
"Going Out of Business Sale"
Renewal
FOR INTERNAL USE ONLY
To:
Town of:
Date of application:
Town Clerk
Wappinger
I I
---
Application for License Renewal 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
Date Received:
I
I
Serial #:
Pursuant to Section 590 of the New York General Business Law, application is hereby made for renewal of License
No. _ for a period not exceeding 30 consecutive calendar days, beginning on ,20_, and
terminating on , 20_, pursuant to application dated , 20_
The undersigned hereby reconfIrms the accuracy of all the statements, allegations and representations made in the
original application dated on ,20-, submitted in connection with License No._.
With respect to this Application for Renewal:
1) The same is made not more than 10 days prior to the date of expiration of License No._
2) The goods, wares and merchandise listed in the inventory fIled with the original Application have not been
disposed of; attached is an inventory of the goods, wares and merchandise remaining on hand
3) No new goods, wares and merchandise have been or will be added to the inventory fIled with the original
Application
a) Dated:
b) Name of Applicant (printed):
c) Representative (printed):
d) Title:
State of New York,
County of
(Name)
o
SS:
being duly sworn, deposes and says: (check one of the following)
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.
Corporate VerifIcation
Deponent is the
o
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