Form CTX-A.34A "Report of Changes in Personnel, Motor Vehicles, and Location of Vending Machines" - New York City

What Is Form CTX-A.34A?

This is a legal form that was released by the New York City Department of Finance - a government authority operating within New York City. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 8, 2017;
  • The latest edition provided by the New York City Department of Finance;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CTX-A.34A by clicking the link below or browse more documents and templates provided by the New York City Department of Finance.

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Download Form CTX-A.34A "Report of Changes in Personnel, Motor Vehicles, and Location of Vending Machines" - New York City

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NYC DEPARTMENT OF FINANCE SHERIFF DIVISION
REPORT OF CHANGES IN PERSONNEL, MOTOR
TM
VEHICLES, AND LOCATION OF VENDING MACHINES
Department of Finance
NYC Department of Finance, Sheriff Division, CTX Unit, 30-10 Starr Avenue, 2nd Floor, Long Island City, NY 11101
Instructions: This form is used by all agent-jobbers, sub-jobbers and vending machine operators to report all changes in per-
sonnel (sales personnel, service personnel, etc.), motor vehicles, and locations of vending machines as required by the whole-
sale cigarette dealer’s license issued to you by the City of New York. Under DELETIONS, list information from schedules you
submitted previously that should be removed. Under ADDITIONS, list information that should be added to the most recently
submitted schedule.
Date:
______________________
NYC License #:______________________________
Licensee Name:____________________________________________________________________________________________
Address:__________________________________________________________________________________________________
Number and Street
City:_______________________________________________________________ State: ________ Zip Code: ______________
DELETIONS
ADDITIONS
Name of Officer/Partner:__________________________________________ Title: ____________________________
Signature:________________________________________________________________________________________
Visit Finance at nyc.gov/finance
CTX-A.34a 06.08.2017
NYC DEPARTMENT OF FINANCE SHERIFF DIVISION
REPORT OF CHANGES IN PERSONNEL, MOTOR
TM
VEHICLES, AND LOCATION OF VENDING MACHINES
Department of Finance
NYC Department of Finance, Sheriff Division, CTX Unit, 30-10 Starr Avenue, 2nd Floor, Long Island City, NY 11101
Instructions: This form is used by all agent-jobbers, sub-jobbers and vending machine operators to report all changes in per-
sonnel (sales personnel, service personnel, etc.), motor vehicles, and locations of vending machines as required by the whole-
sale cigarette dealer’s license issued to you by the City of New York. Under DELETIONS, list information from schedules you
submitted previously that should be removed. Under ADDITIONS, list information that should be added to the most recently
submitted schedule.
Date:
______________________
NYC License #:______________________________
Licensee Name:____________________________________________________________________________________________
Address:__________________________________________________________________________________________________
Number and Street
City:_______________________________________________________________ State: ________ Zip Code: ______________
DELETIONS
ADDITIONS
Name of Officer/Partner:__________________________________________ Title: ____________________________
Signature:________________________________________________________________________________________
Visit Finance at nyc.gov/finance
CTX-A.34a 06.08.2017