Form Pv-0105 - Rental Company Initial Enrollment Application printable pdf download

Form Pv-0105 - Rental Company Initial Enrollment Application

N EW YOR K C ITY D EPARTM EN T OF FIN AN C E

PR OGR AM OPER ATION S D IVISION

●

RENTAL PROGRAM

RENTAL COMPANY INITIAL ENROLLMENT APPLICATION

Department of Finance

Mail to: NYC Department of Finance, Rental Program, 66 John Street, 3rd Floor, New York, NY 10038

Use this application to enroll your company in the Rental Program. Upon receipt of this application, we will

send you a bill listing your summonses. You will then have 30 days to resolve these summonses by: (1) paying

all summonses you choose not to contest, and/or (2) scheduling hearings for summonses you to choose to

contest (if eligible) , and paying any of those found guilty.

You must provide:

•

Registration fee

•

Plate list

•

A blank rental agreement

•

Corporate by laws

•

Certificate of corporation documents

If you need assistance completing forms or have any questions, please contact the Fleet/Rental Unit at

212-291-2578.

SECTION I - ENROLLMENT CONTACT INFORMATION

1. Lessor’s Name:

2. D/B/A Name

(if different):

3. Business Type:

Check one of the boxes below and write in the SSN and/or EIN as indicated.

❑

Sole Proprietorship

Social Security Number:

❑

Partnership

Social Security Number:

Employer Identification Number:

and

❑

Corporation

Employer Identification Number:

4. Business Address:

City:

State:

Zip Code:

5. Contact Name:

6. Telephone Number:

7. E-mail Address:

8. Bank Name:

9. Bank Address:

City:

State:

Zip Code:

PV-0105 Rev. 05.09.2017

Form Pv-0105 - Rental Company Initial Enrollment Application

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