Home Improvement Contractor Roster Of Salespersons - Nyc Department Of Consumer Affairs
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142 Broadway
HOME IMPROVEMENT CONTRACTOR
5th Floor
New York, NY 10004
ROSTER OF SALESPERSONS
Dial 311
(212-NEW-YORK)
nyc.gov/consumers
Legal Name of Business:
Business’s Trade or Doing-
Business-As (DBA) Name, if
applicable:
DCA License Number:
At least one person in your business must hold a current and valid Home
Improvement Salesperson license issued by the Department of Consumer
Affairs (e.g., sole proprietor, general partner, director, corporate officer,
shareholder owning 10% or more of company stock, or employee). Please
complete required information below for your licensed salespersons. Attach
additional papers as necessary.
Salesperson’s Name
DCA License Number
_______________________________
___________________________
Signature
Print Name
_______________________________
___________________________
Title (if any)
Date
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