The Uniform Certificate of Authority Statement of Withdrawal Application should be used to file a complete Surrender of the. Certificate of Authority. The.I'm going to show you how to send the form 17 to your sellers have them be able to fill out all of the boxes get it back and then be able to deliver it. Complete the entire form and enter all requested information in the fields provided. You'll need the following before uploading your documents: Completed and signed renewal form. Smart phone with a camera or access to a scanner. A complete statement on this subject can be found in your tax form instructions. Preparer e-file mandate.