NYC Taxi & Limousine Commission Agent Annual Accounting Affidavit
This file is an affidavit required by the NYC Taxi & Limousine Commission for the annual accounting submission by taxi agents. It must be notarized and submitted along with the Excel spreadsheet. Failure to submit can result in fines or license suspension.
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How do I fill this out?
To fill out this affidavit, ensure you have all the required information about your business and medallion owners. Notarize the document, and submit it along with the completed Excel spreadsheet. Follow the detailed instructions provided to complete the form accurately.

How to fill out the NYC Taxi & Limousine Commission Agent Annual Accounting Affidavit?
1
Gather all required information about your business and medallion owners.
2
Print and fill out the affidavit form.
3
Notarize the completed affidavit.
4
Complete the accompanying Excel spreadsheet.
5
Submit the notarized affidavit and Excel spreadsheet to the specified email address.
Who needs the NYC Taxi & Limousine Commission Agent Annual Accounting Affidavit?
1
Taxi agents submitting their annual accounting affidavit to the NYC Taxi & Limousine Commission.
2
Business owners managing taxi medallions who need to comply with NYC regulations.
3
Owners of taxi companies who are required to provide accurate accounting to all medallion owners.
4
Notaries who will be notarizing the affidavit for taxi agents.
5
Compliance officers ensuring that taxi businesses meet NYC TLC requirements.
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What are the instructions for submitting this form?
To submit this form, email a notarized scanned version of the submission affidavit and the completed Excel spreadsheet titled 'Agent Annual Accounting Submission Spreadsheet' to TaxicabAgents@tlc.nyc.gov. Ensure all information is accurate and complete to avoid penalties. Submit the documents before the annual deadline specified by NYC TLC.
What are the important dates for this form in 2024 and 2025?
Ensure to submit the affidavit by the annual deadline specified by the NYC Taxi & Limousine Commission for 2024 and 2025. Check the TLC website for exact submission dates. Avoid fines or license suspension by timely submission.

What is the purpose of this form?
The purpose of the Agent Annual Accounting Affidavit is to ensure that taxi agents in NYC provide a transparent and accurate annual accounting to all medallion owners. By submitting this notarized affidavit and the accompanying spreadsheet, agents comply with NYC Taxi & Limousine Commission regulations. Accurate submissions help maintain accountability and support the integrity of NYC's taxi industry.

Tell me about this form and its components and fields line-by-line.

- 1. Agent Information: Includes Agent Name, License Number, Business Address, City, State, and Zip Code.
- 2. Affidavit Statement: Contains a statement affirming the accuracy and completeness of the annual accounting submission.
- 3. Signature: Requires an officer or owner’s signature, title, and date of signing.
- 4. Notary Public: Includes the notary public section for official notarization, with date and county.
What happens if I fail to submit this form?
Failure to submit this affidavit can result in penalties, including fines and license suspension or revocation.
- Fines: Monetary penalties for non-compliance with annual accounting submission.
- License Suspension: Temporary suspension of the agent’s TLC license for failure to submit.
- License Revocation: Permanent revocation of the agent’s TLC license for willful or fraudulent submissions.
How do I know when to use this form?

- 1. Annual Compliance: To fulfill annual compliance requirements with the NYC TLC.
- 2. Accounting Documentation: As part of the annual accounting documentation for medallion owners.
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