Exemption Form For Franchisor To An Existing Franchisee Pursuant To GBL 684(3)(d) Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Exemption Form For Franchisor To An Existing Franchisee Pursuant To GBL 684(3)(d) Form. This is a New York form and can be use in Blue Sky Secretary Of State.
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Tags: Exemption Form For Franchisor To An Existing Franchisee Pursuant To GBL 684(3)(d), Form H, New York Secretary Of State, Blue Sky
STATE OF NEW YORK
O FFICE OF THE ATTORNEY G ENERAL
ANDREW CUOMO
ATTORNEY GENERAL
Franchise registration forms, statutes, regulations and guidelines can be downloaded from
www.oag.state.ny.us
FORM H–EXEMPTION FORM FOR FRANCHISOR TO AN EXISTING
FRANCHISEE PURSUANT TO GBL § 684(3)(D)
Fee: $150.00
The Report shall contain the following information:
1.
2.
3.
4.
5.
6.
State of
County of
Name, address and telephone number of franchisor.
Name, address and telephone number of franchisee.
The date from which the franchisee has actively operated its franchise.
The address and telephone number of the franchise to be acquired.
The price of the franchise sold.
A statement by the purchasing franchisee that it is purchasing the franchise in order
to operate the business and not for the purpose of resale.
)
)ss.
)
_________________________ being duly sworn, deposes and says that he/she has read
this report and knows the contents thereof and that the same is true to his/her own knowledge.
_________________________________
Name of Franchisor
(SEAL)
By ______________________________
Title _____________________________
Sworn to before me this day of
20
____________________
NOTARY PUBLIC
1
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