DEALER LICENSE APPLICATION
Pursuant to the code of the Township of Bensalem Ordinance 2012-03 I hereby apply for a license with Bensalem Township
BUSINESS INFORMATION
All information must be included. Incomplete applications will be rejected.
License #
Date
Fee $
Business/Firm Name:
Address:
City:
State:
ZIP:
Phone No.:
Fax No.:
Type of Business:
(i.e. Pawnbroker, Precious Metal, Antique, or Secondhand Dealer, etc.)
State Tax No.: Federal Tax No.:
E-Mail Address:
Business Owner’s Name:
Business Owner’s Home Address:
Business Owner’s Home or Cell Phone:
A SIGNED COPY OF THIS APPLICATION IS REQUIRED PRIOR TO ISSUANCE OF LICENSE
Owner’s Print Name
Owner’s Signature Date
Suspension of Pawnbroker’s License
1. If a pawnbroker’s license is suspended, the Bensalem Township Building and Planning Department shall
provide written notice of the suspension to the Secretary of Banking for the Commonwealth of Pennsylvania.
The Secretary of Banking shall then conduct a hearing to ascertain if the pawnbroker’s license shall be
revoked.
2. If the Secretary of Banking for the Commonwealth of Pennsylvania revokes the pawnbroker’s license, the
pawnbroker shall be prohibited from ever obtaining an operating license in Bensalem Township, regardless if
the Secretary of Banking for the Commonwealth of Pennsylvania reinstates the pawnbroker’s license.
3. No operating license shall be issued when any pawnbroker’s license has been revoked by the Secretary of
Banking for the Commonwealth of Pennsylvania, where the pawnbroker retains a property interest in the
location where the operating license was suspended or the pawnbroker retains a pecuniary interest in the
corporation or any affiliated business entities therein.
4. During any period of license suspension, the dealer shall cease operation at each and every location of the
dealer’s business.
FOR OFFICE USE ONLY
Zoning Officer’s Decision
Approved Denied
Zoning Officer Signature Date
Building and Planning Department
2400 Byberry Road ▪ Bensalem, PA 19020
Office 215-633-3644 ▪ Fax 215-633-3753
BENSALEM TOWNSHIP
