Fillable LICENSE APPLICATION FOR SECONDHAND STORES MUNICIPAL CODE SECTION (City of South Bend)

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LICENSE APPLICATION FOR SECONDHAND STORES MUNICIPAL CODE SECTION (City of South Bend)

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The LICENSE APPLICATION FOR SECONDHAND STORES MUNICIPAL CODE SECTION (City of South Bend) form is 3 pages long and contains:

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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 – SECONDHAND STORES
MUNICIPAL CODE SECTION – 4-53
DEFINITION:
Secondhand Store Owners include any person who keeps or maintains a business for the
purchase or sale of secondhand clothing, secondhand furniture or secondhand goods, wares or
merchandise of any kind.
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. Include $5.00 license application fee payable to City of South Bend.
7. License fee payable to City of South Bend due at issuance - $115.00.
8. Add $40.00 to fee for Outdoor Display.
9. Report daily transactions to the SBPD in electronic form. The SBPD utilizes LeadsOnline as
the sole means to electronically accept the daily transaction reports. Go
to www.leadsonline.com
to register your business.
APPLICATION PROCESS:
1. Thoroughly review Municipal Code Section 4-53.
2. See Municipal Code Section 4-53 for non-profit and charitable corporation exemptions.
3. Submit Application with $5.00 Processing Fee.
4. Police background check of applicant, inspection of building by the Fire, Building, and Code
Enforcement Departments.
5. License issued upon completion of inspections and receipt of payment.
6. Record keeping and inspections required to comply with Municipal Code Section 4-53.
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 – SECONDHAND STORES
MUNICIPAL CODE SECTION – 4-53
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. Zoning of Proposed Business Location:
H. Types of goods, wares, or merchandise to be sold:
III. 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:
H. Position with Business:
For Office Use Only
Application Filed Fire Dept. Approval
Application Fee Paid Building Dept. Approval
Sent to Dept. License Fee Paid
Police Dept. Approval License Number
Code Enforcement (If outdoor)
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 – SECONDHAND STORES
MUNICIPAL CODE SECTION – 4-53
IV. GENERAL QUESTIONS
A. Will there be Outdoor Displays on the premises:
Yes: No:
B. Is Business operated by a Not-for-Profit fraternal organization, service club, or religious,
educational or charitable institution:
Yes: No:
C. Does Business sell used merchandise only on consignment basis?
Yes: No:
V. INCLUDE $5.00 PROCESSING FEE WITH APPLICATION
V. 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 Secondhand Store license found in the City of South Bend Municipal Code,
Section 4-53.
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LICENSE APPLICATION FOR SECONDHAND STORES MUNICIPAL CODE SECTION (City of South Bend)

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Completed 16 July 2020

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