BENSALEM TOWNSHIP
Building and Planning Department
2400 Byberry Road Bensalem, PA 19020
Office 2
15
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633
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3644
Fax 215
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633
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3753
A
pp
lication To Conduct Goin
g
Out of Business Sale
Applicant
(Owner of Goods)
1.
Name:
Address:
Length of Time in Business at Location:
Name of Applicant’s Representative
Filing This Application:
Address Where Sale
Is Being Conducted:
Name And Style of Sale:
Dates and Times of Sale:
Dates Inclusive:
Times:
Person in Charge of Conducting Sale:
Address:
Telephone No.:
Nature of Occupancy:
Lease
Owner
Termination Date of Occupancy:
Full explanation with regard to the condition or necessity which is the occasion for such above
named sale, including reason why such name is truthfully descriptive of such sale:
“Closing Out Sale” Statement:
Inventory Requirement: There must be attached to this application a full, detailed, complete
inventory of goods to be sold, which inventory shall:
(a)
Itemize the goods to be sold and contain sufficient information concerning each item, including
make and brand name, if any, to clearly identify it.
(b)
List separately any goods that were purchased during a (90) day period immediately prior to the
date of making applucation for the licensee.
(c)
List the total retail value of the inventory of goods, wares and merchandise to be offered at such
sale based on the inventory used for the applicant’s most recent federal income tax return
adjusted for sales and purchases.
Inventory Statement:
(a)
No goods, wares or merchandise, not included in the original inventory listing, will be added to the
inventory after the application is made; and
(b)
No goods, wares or merchandise included in the attached inventory listing have been purchased
by the applicant for resale on such orders without cancellation privileges; and
(c)
No goods, wares or merchandise included in the inventory listing comprise stock purchased on
consignment.
2.
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11.
Application To Conduct Going Out of Business Sale
Page 2
12. General Statement:
1.
The owner applicant has not acquired right to the trade name of this business within the (6) six
months just prior to making this application. (If trade name of business has been acquired within the
last (6) six months, applicant cannot use trade name).
2.
Applicant has not conducted a similar sale on the same premises within one year previous to the
starting date of this applied for sale.
THIS APPLICATION MUST BE FULLY AND ACCURATELY COMPLETED. FALSE OR MISLEADING STATEMENTS MAY
SUBJECT APPLICANT TO THE PENALTIES OF PURJURY IN ADDITION TO OTHER PENALTIES PROVIDED BY LAW
Submitted by: Date
Approved by: Date
A surety bond is required to be submitted with this application. The amount of said bond shall be determined as follows:
5% if the first one hundred thousand dollars ($100,000) of the retail value of all the goods, wares and merchandise to be
offered at such sale; 2% of the next four hundred thousand dollars ($400,000); and 1% of the balance. Bond shall be made
payable to the Commonwealth of Pennsylvania.
FEES: 30 Day License $50.00
30 Day Renewal Fee $100.00
APPROVED BY:
Signature Date
A NEW APPLICATION SHALL BE FILED AT LEAST 10 DAYS PRIOR TO EXPIRATION OF LICENSE.
Rev 9/2009