Connecticut Form Fpd 124 is a state form that must be filed in order to create a business entity in Connecticut. This form can be used to create a number of different types of businesses, including corporations, limited liability companies, and partnerships. There are certain requirements that must be met in order to file this form, so it is important to review the instructions carefully before completing it. Additionally, there may be other forms that need to be filed in order to complete the process of setting up a business in Connecticut. For more information, contact the Connecticut Secretary of State's office.
| Question | Answer |
|---|---|
| Form Name | Connecticut Form Fpd 124 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | pawnsheet pawn sheeg form |
FAIRFIELD POLICE
100 Reef Road, Fairfield, CT 06824 (203)
PRECIOUS METAL DEALERS WEEKLY REPORT FORM
THESE REPORTS MUST BE SUBMITTED TO THE FAIRFIELD POLICE DEPARTMENT WEEKLY.
FAILURE TO DO SO COULD RESULT IN THE DEALERS LICENSE BEING REVOKED.
BUSINESS INFORMATION
REPORT FOR WEEK ENDING:
PAGE:
OF
NAME:
OWNER'S NAME:
ADDRESS: # STREET
FAIRFIELD, CT
TELEPHONE #:
INSTRUCTIONS
ALL INFORMATION ON THIS FORM SHALL BE EITHER TYPED OR LEGIBLY PRINTED. THE FRONT AND REAR OF THIS SHEET WILL BE FILLED OUT, SIGNED, AND NOTARIZED (SEAL REQUIRED). IF MORE THAN ONE PAGE IS UTILIZED FOR A WEEK, THE PAGES WILL BE CONSECUTIVELY NUMBERED. COMPLETE ONLY THE TOP SECTION OF PAGE ONE AND COMPLETELY FILL IN PAGE 2 OF ANY ADDITIONAL SHEETS.
On the reverse side of this form each and every transaction will be listed. This will include the date and time of the transaction, the ticket/receipt number (indicating pledge or sold), a complete description of the item or article (to include brand name, make, serial number, model number, and any other definitive markings or engravings), the Seller/Pledger's full name and residence as well as verifiable identification (such as motor vehicle operator's license) and a description of the Seller/ Pledger. The description SHALL include Race (W=White, B=Black, H=Hispanic, A=Asian, O=Other), date of birth, height, weight, eye color and hair color.
NOTARIZATION
The information contained on this form represents the total transactions completed by me for the week ending, as indicated above, in compliance with Chapter 409, Section
SIGNATURE OF DEALER / PAWNSHOP OPERATOR |
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STATE OF CONNECTICUT, COUNTY OFSS.
Subscribed to and sworn before me on this ________ day of ___________________ 20_______.
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rev.11/08 |
commission expires: |
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TICKET # |
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