SOLICITATION PERMIT 20150616
CITY OF AUBREY
107 S. Main Street
Aubrey, TX 76227
940-440-9343
APPLICATION FOR SOLICITATION LICENSE
In Accordance with Ordinances #376-06, 470-12 & 471-12
Legal Name of Applicant:
________________________________________________
First Middle Last
Permanent Address:
________________________________________________
Address
________________________________________________
City State Zip Code
Current Address:
________________________________________________
Address
________________________________________________
City State Zip Code
Business Address:
________________________________________________
Business Name
________________________________________________
Address
________________________________________________
City State Zip Code
Phone Numbers:
________________________________________________
Home Business Cell
SOLICITATION PERMIT 20150616
Is business a partnership? ____ Yes ____ No If so, list the names of all partners and
the principal business address and telephone number of each partner.
________________________________________________
________________________________________________
________________________________________________
________________________________________________
Is business incorporated? ____ Yes ____ No If yes, fill in the following:
Is it organized under the laws of Texas? ____ Yes ____ No
________________________________________________
Name of Corporation
________________________________________________
Mailing Address
________________________________________________
City State Zip Code
________________________________________________
Phone Number
________________________________________________
Name of Person in Charge of the Principal Office
Names & Address of all Officers and Directors or Trustees:
________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
Is it a foreign corporation? ____ Yes ____ No If so, place of incorporation:
________________________________________________
SOLICITATION PERMIT 20150616
Is business an association? ____ Yes ____ No
________________________________________________
Name of Association
________________________________________________
Mailing Address
________________________________________________
City State Zip Code
________________________________________________
Phone Number
________________________________________________
Name of Person in Charge of the Principal Office
Names, Addresses, & Phone Numbers of all Members of the Association:
________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
Name, Address, and Phone Number of each person intended to engage in Solicitation
under the permit:
________________________________________________
________________________________________________
________________________________________________
________________________________________________
Full Legal Names, Mailing Addresses, and Phone Numbers of all individuals who will be
in supervision, charge or control of any Solicitation:
________________________________________________
________________________________________________
SOLICITATION PERMIT 20150616
________________________________________________
________________________________________________
List items to be offered for sale, including name brand, manufacturer and distributor of
goods and commodities. List the name, publisher and distributor of all books, magazines
or periodicals.
________________________________________________
________________________________________________
________________________________________________
________________________________________________
Five personal references, excluding relatives and/or persons living with the applicant:
________________________________________________
Name Phone Number
________________________________________________
Mailing Address
________________________________________________
Name Phone Number
________________________________________________
Mailing Address
________________________________________________
Name Phone Number
________________________________________________
Mailing Address
________________________________________________
Name Phone Number
________________________________________________
Mailing Address
________________________________________________
Name Phone Number
________________________________________________
Mailing Address
SOLICITATION PERMIT 20150616
Dates and times the solicitors will work:
________________________________________________
________________________________________________
________________________________________________
________________________________________________
Solicitation will begin: ______________________________
Date
Solicitation will end: ______________________________
Date
Description of the methods and means by which the Solicitation is to be attempted or
accomplished:
________________________________________________
________________________________________________
Names of cities and counties where the applicant has worked or been employed within
the previous six months.
________________________________________________
________________________________________________
Has the applicant ever been convicted of a felony or a misdemeanor involving moral
turpitude or violence against another person? ____ Yes ____ No
If yes, describe: ___________________________________
Have any of the other Solicitors listed on this application been convicted of a felony or a
misdemeanor involving moral turpitude or violence against another person?
____ Yes ____ No
If yes, list the name and description of offense:
________________________________________________
________________________________________________
________________________________________________
SOLICITATION PERMIT 20150616
Driver’s License Number, State issued from, and Date of Birth for Applicant and All
Solicitors on this application (or State-approved identification card):
________________________________________________
________________________________________________
________________________________________________
Social Security Number of Applicant and All Solicitors on this application (Providing
this information is optional. If provided, it will be used to perform a criminal background
check required under the City’s solicitation regulations. Providing this information may
speed the processing of the background check. However, deciding not to provide this
information will not have any effect on whether or not a permit is issued):
________________________________________________
________________________________________________
________________________________________________
Revocation of Permit: If, after the permit has been issued, the City Police Chief, or his
authorized designee, finds that the permit was obtained by false representation in the
application, or the permit has been reproduced or transferred or assigned to another
person, or the applicant has led someone to believe the permit is an endorsement of the
applicant’s product or service by the City, or in the event of fraud or misrepresentation by
the permit holder, or in the event of conviction of the permit holder of a felony or a
misdemeanor involving moral turpitude, or in the event the permit holder has failed to
furnish the items required, such permit may be revoked by the City building official or
his authorized designee.
If a police officer, code enforcement officer, or building official has probable cause to
believe that a Solicitor has engaged in prohibited conduct as set forth in Ordinance #374-
06, the officer may revoke the permit of the permit holder.
If more than one complaint of misconduct by a Solicitor or group of Solicitors working
for the same company is received, the permit may be immediately revoked by the City.
Penalty: Any person violating any of the provision or terms set forth in Ordinance #374-
06 shall be deemed guilty of a Class C misdemeanor and, upon conviction, be punished
by a fine not to exceed the sum of $500.00 for each offense, and each and every day such
violation shall continue be deemed to constitute a separate offense. Allegation and
evidence of a culpable mental state is not required for proof of any offense defined by the
Ordinance.
SOLICITATION PERMIT 20150616
ALL SOLICITORS MUST HAVE PERMIT IDENTIFICATION
CARDS DISPLAYED IN PLAIN VIEW WHILE ENGAGED IN
SOLICITATION
Signature of Applicant:
________________________________________________
STATE OF TEXAS
COUNTY OF DENTON
Before me, a notary public, on this day personally appeared
_____________________________________________, known to me to be the person
whose name is subscribed to the foregoing document and, being by me first duly sworn,
declared that the statements therein contained are true and correct.
Given under my hand and seal of office this _____ day of __________, 200__.
________________________________________________
Notary Public
My Commission Expires: ___________________
Fees:
Application Fee: $100.00 x ______ = _______
Identification Cards $20.00 x ______ = _______
Total: _______
Method of Payment:  Cash  Check - Number ________  Money Order –
Number _________
Date application received: __________
Date permit issued: __________
Date permit expires: __________
Approvals:
________________________________________________
Code Enforcement Date
________________________________________________
Police Department Date
________________________________________________
Person Issuing Permit Date
SOLICITATION PERMIT 20150616
REQUIRED SUPPLEMENTAL INFORMATION
(to be attached to and submitted with permit application)
Two recent photographic likenesses of the Applicant’s face, and any Solicitor
soliciting under the permit, not to exceed one inch square in size.
A certificate or letter from the President, Vice-President, General Manager, Sales
Manager, Assistant Sales Manager or District or Area Manager of the company
for which the Applicant works, sells or solicits stating that the applicant is an
employee and/or agent of such company.
A reference to a recognized financial rating publication, which reference shall
show the page on which the company’s or firm’s financial standing can be found;
or a letter or a certificate from an association or organization which has as its
purpose the protection of citizens of the United States against illegal or unsavory
business practices stating that the firm or company is a member in good standing
of such association or organization.
If the Applicant does not intend to engage in Solicitation on behalf of any firm or
company, letters of recommendation from two citizens of the Applicant’s
permanent city or county of residence
A photocopy of the Applicant and any other Solicitor’s unexpired driver’s license,
state-approved identification card, military identification card or passport.
Proof of cash or surety bond in the amount of $5,000.00, naming the Applicant
for the permit as principal. The bond shall be in full force and effect for one year
from the date of issuance of the permit, unless otherwise extended by demand of
the City due to the revocation of the permit, or an anticipated delivery date
beyond 12 months, in order to protect the citizens of the City from potential losses
associated with such Solicitations.