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Office of the City Clerk Room 202 City Hall Albany, New York 12207 [PHONE REDACTED] [PHONE REDACTED] Fax Kathy M. Sheehan Danielle Gillespie Mayor City Clerk APPLICATION FOR AUCTIONEER’S LICENSE THE FOLLOWING QUESTIONS MUST BE ANSWERED FULLY, AND THE AFFIDAVIT BELOW PROPERLY EXECUTED AND SIGNED BY THE APPLICANT: Name of Applicant Date of Birth Social Security # - - Driver’s License Number Place of Birth Home Address Business Address Home Phone # Phone Have you ever had a public auctioneer’s license? If so, state where and in which STATE YOUR CURRENT FORM OF EMPLOYMENT OTHER THAN OR IN ADDITION TO AN AUCTIONEER LICENSE FOR THE PAST FIVE YEARS. Employer Title/Position For the period of: Employer’s Address ---PAGE BREAK--- Employer Title/Position For the period of: Employer’s Address Have you ever been convicted of a misdemeanor or felony in this or any other state or country? If yes, explain the nature of offense when convicted and in what court. STATE OF NEW YORK: CITY AND COUNTY OF ALBANY: DULY SWORN DESPOSES AND STATES THAT HE/SHE IS THE PERSON SIGNING THE FORGOING APPLICATION AND THE ANSWERS GIVEN TO THE QUESTIONS ABOVE ARE TRUE IN ALL RESPECTS AND PARTICULARS. Signature of Applicant Commissioner of Deeds/Notary Public Approved NOT Approved Chief of Police Approved NOT Approved Chief of Fire Department Action by the City Clerk Application: Approved NOT Approved License