GA COAM License Cancellation Request Form 2020-2026 free printable template

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COAL License Cancellation Request Form IMPORTANT: Email Completed Form to: RCACOAM@GALOTTERY.ORG *The Cancellation Form will ONLY be accepted from the email address on file for license* COAL License

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GA COAM License Cancellation Request Form Form Versions

Version

Form Popularity

Fillable & printabley

GA COAM License Cancellation Request Form 2020

4.8 Satisfied (42 Votes)

GA COAM License Cancellation Request Form 2018

4.3 Satisfied (35 Votes)

How to fill out GA COAM License Cancellation Request Form

01

Obtain the GA COAM License Cancellation Request Form from the official Georgia Department of Revenue website or local office.

02

Fill in the licensee's name, address, and contact information in the appropriate sections of the form.

03

Provide the license number, as indicated on the original COAM license.

04

Indicate the reason for cancellation by selecting the appropriate option or writing a brief explanation.

05

Include the date of cancellation request.

06

Sign and date the form at the bottom to certify that the information provided is accurate.

07

Submit the completed form to the appropriate licensing authority, either by mail or in person, as per the instructions provided.

Who needs GA COAM License Cancellation Request Form?

01

Any establishment or organization that holds a Georgia Coin Operated Amusement Machines (COAM) license and wishes to cancel it must complete the GA COAM License Cancellation Request Form.

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What is GA COAM License Cancellation Request Form?

The GA COAM License Cancellation Request Form is a document used to formally request the cancellation of a COAM (Coins Operated Amusement Machine) license issued in the state of Georgia.

Who is required to file GA COAM License Cancellation Request Form?

Any individual or business entity that holds a COAM license in Georgia and wishes to cancel that license is required to file the GA COAM License Cancellation Request Form.

How to fill out GA COAM License Cancellation Request Form?

To fill out the GA COAM License Cancellation Request Form, provide the required identification information, including the license number, business name, reason for cancellation, and any other relevant details as specified on the form.

What is the purpose of GA COAM License Cancellation Request Form?

The purpose of the GA COAM License Cancellation Request Form is to formally notify the Georgia state authorities of the intention to cancel a COAM license and to ensure that the license is properly deactivated in the state's licensing records.

What information must be reported on GA COAM License Cancellation Request Form?

The GA COAM License Cancellation Request Form must include information such as the license number, business name, contact details, reason for cancellation, and any additional information required by the state's licensing agency.

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