!
Name of Applicant: ____________________________________________
Home Address: ____________________________________________
____________________________________________
Date of Birth: ______ / ______ / ______
Drivers License No. _____________________________________
Telephone No. _____________________________________
Name of Employer: ____________________________________________
Address: ____________________________________________
____________________________________________
Telephone Number: ____________________________________________
Nature of Business and Description of Merchandise/Service to be Sold:
___________________________________________________________________________________
Geographic Area or Location of Solicitation:_______________________________________________
Place where the goods or property to be sold or offered for sale are manufactured or produced, the place
where goods or property are located and the proposed method of delivery:
___________________________________________________________________________________
___________________________________________________________________________________
If a Vehicle is to be Used, Description of such Vehicle:
Make: ______________________, Model _____________________, Year __________
Vehicle License No. ______________________
Has the Applicant ever been Convicted of any Crime, Misdemeanor or Violation of any Municipal
Ordinance? _____ If yes, Please State the Nature of the Offense and the Punishment or Penalty
Assessed therefor: _____________________________________________________________________
____________________________________________________________________________________
**The following items are required to constitute a complete application:
▫
Letter from Employer confirming background check.
▫
Two business references, or in lieu thereof, such other available evidence of the character and business
responsibility of the applicant as will enable an investigator to properly evaluate such character and
responsibility.
▫
Proof of insurance coverage in the minimum amount of $100,000.00 per person/$500,000.00 per
occurrence for general liability and $50,000.00 for property damage.
Peddling and Soliciting Application
Code of the Borough of Stanhope, Chapter 108
77 Main Street, Stanhope, NJ 07874
▫
Attach Photograph of Applicant 2x2 inches taken within sixty [60] days of Application. Badge Fee
$2.00
-------------------------------------------------------------------------------------------------------------------------------
-----
Annual License Fee $50.00 Badge Fee $2.00
(Payment Required When Picking Up License & Badge)
