Fillable LICENSE APPLICATION FOR PRECIOUS METALS DEALER MUNICIPAL CODE (City of South Bend)

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LICENSE APPLICATION FOR PRECIOUS METALS DEALER MUNICIPAL CODE (City of South Bend)

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For all municipal business license questions, contact: City of South Bend • Department of Community Investment
227 West Jefferson Blvd • Suite 1400 S •South Bend, Indiana 46601 • 574.235.5912 • F: 574.235.9021
LICENSE APPLICATION FOR – PRECIOUS METALS DEALER
MUNICIPAL CODE SECTION – 4-44
DEFINITION:
Precious Metals Dealer refers to any person who claims to the public to be a purchaser of
precious metals, or who in doing business engages in purchasing, trading, or offering by
consignment silver, gold or other precious metals.
GENERAL INSTRUCTIONS:
1. Print legibly and complete all sections to ensure efficient processing.
2. Assemble all required information and materials before filing application.
3. Thoroughly review all applicable Municipal Code Sections listed above.
4. Licenses expire January 31.
5. Add 10% to license fee for renewal after January 31.
6. Application processing fee payable to City of South Bend is due with the application.
7. License fee payable to City of South Bend due at issuance - $75.00.
8. Report daily transaction to the SBPD in electronic form. The SBPD utilizes LeadsOnline as
the sole means to electronically accept these daily transaction reports. Go to
www.leadsonline.com to register your business.
APPLICATION PROCESS:
1. Submit application with $5.00 processing fee.
2. Police background check of applicant.
3. License issued upon approval and payment of the license fee.
4. Precious Metals Reports and Records to be filed and maintained per Municipal Code Section
4-44.
NOTE – IN ADDITION TO THE ABOVE, PRECIOUS METAL DEALERS MUST REGISTER WITH THE
SECRETARY OF STATE’S OFFICE
As of January 1, 2014, all precious metal dealers, commonly referred to as cash for gold, are
required to register as a dealer annually with both the Indiana Secretary of State’s office and
local law enforcement (The Department of Community Investment Business Licensing processes
the local registry on behalf of the law enforcement). Precious metal dealers can register online
with the Secretary of State’s office at https://secure.in.gov/apps/sos/precious/.
Be aware, this registration is to do business as a precious metal dealer in Indiana. You must
separately register as a business in the State of Indiana with the Indiana Secretary of State’s
office as well. Businesses can register online with the Secretary of State’s office at
https://inbiz.in.gov/BOS/Home/Index.
1
For all municipal business license questions, contact: City of South Bend • Department of Community Investment
227 West Jefferson Blvd • Suite 1400 S •South Bend, Indiana 46601 • 574.235.5912 • F: 574.235.9021
LICENSE APPLICATION FOR – PRECIOUS METALS DEALER
MUNICIPAL CODE SECTION – 4-44
I. APPLICATION TYPE Check One: New Renewal
II. BUSINESS DATA
A. Business Name:
B. Business Address:
City: State: Zip:
C. Mailing Address (If different from above):
City: State: Zip:
D. Business Telephone Number:
E. Business Fax Number:
F. E-Mail Address:
G. Types of goods, wares, or merchandise to be sold:
H. Have you registered the business with LeadsOnline? Yes No
III. APPLICANT’S PERSONAL DATA
A. Applicant's Legal Name:
B. Residential Address:
City: State: Zip:
C. Residential Telephone Number:
D. Cellphone Number:
E. Social Security Number: F. Gender:
G. Date of Birth: H. Race:
I. Position with the Business:
For Office Use Only
Application Filed Building Dept. Approval
Application Fee Paid Police Dept. Approval
Sent to Dept. License Fee Paid
License Number
Not Approved
Reason
2
For all municipal business license questions, contact: City of South Bend • Department of Community Investment
227 West Jefferson Blvd • Suite 1400 S •South Bend, Indiana 46601 • 574.235.5912 • F: 574.235.9021
LICENSE APPLICATION FOR – PRECIOUS METALS DEALER
MUNICIPAL CODE SECTION – 4-44
IV. OWNER’S PERSONAL DATA
A. Owner’s Legal Name:
B. Residential Address:
City: State: Zip:
C. Residential Telephone Number:
D. Cellphone Number:
E. Social Security Number: F. Gender:
G. Date of Birth: H. Race:
V. INCLUDE $5.00 PROCESSING FEE WITH APPLICATION
VI. AFFIRMATION
I, hereby, certify and affirm that all of the information I have given in this application is true and
accurate to the best of my knowledge. I further certify that I have in no way attempted to
mislead the City in this application by omitting facts known to me. I have read and understand
the regulations of the Precious Metals Dealer license found in the City of South Bend Municipal
Code, Section 4-44.
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LICENSE APPLICATION FOR PRECIOUS METALS DEALER MUNICIPAL CODE (City of South Bend)

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Completed 16 July 2020

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