Transcription of PERMITTEE REGISTRATION APPLICATION - New …
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Example: tourism industry
PERMITTEE REGISTRATION APPLICATION - New …
Rev. 10/6/15 LEGAL ENTITY TYPE: (CHECK ONLY ONE)Page 1 of 3____ CORPORATION, LLC OR LLP (COMPLETE SECTIONS 1A, 2 TO 5)____ PARTNERSHIP (COMPLETE SECTIONS 1B, 2 TO 5)_____ JOINT VENTURE (COMPLETE SECTIONS 1C, 2 TO 5) ____ SOLE PROPRIETORSHIP (COMPLETE SECTIONS 1D, 2 TO 5)Field with an asterisk (*) next to it is mandatory. NYS Department of State Number*:_____ Tel #*:(_____)_____-_____(_____)_____-_____ NY State Department of State (NYS DOS) Additional Information NYS DOS Process Address: (Address to which DOS will mail process if accepted on behalf of the entity) Index Number (Provided by County Clerk Office):_____ Tel #*:(_____)_____-_____(_____)_____-_____ Tel #*:(_____)_____-_____(_____)_____-_____ Tel #*:(_____)_____-_____(_____)_____-_____P age 1 of 3 24-Hour Emergency Telephone Number* (Must be able to make immediate contact):_____ PERMITTEE Legal Name*: _____ Tax Number* ( ):_____ or Social Security Number:_____ Address* (Post Office Box Not Accepted):_____ City*:_____ NYS DOS Process Name (Name to which DOS will mail process if accepted on behalf of the entity):_____ _____ Address: _____ City:_____State:_____Zip:_____ Assumed Name (Doing Business As).
(Address to which DOS will mail process if accepted on behalf of the entity)
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