Fillable Solicitor/Peddler Application Solicitor - valid for 6 months (City of Bloomington)

Fill Online, Printable, Fillable, Blank Solicitor/Peddler Application Solicitor - valid for 6 months (City of Bloomington) Form

Use Fill to complete blank online CITY OF BLOOMINGTON (MN) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Solicitor/Peddler Application Solicitor - valid for 6 months (City of Bloomington)

On average this form takes 20 minutes to complete

The Solicitor/Peddler Application Solicitor - valid for 6 months (City of Bloomington) form is 2 pages long and contains:

  • 1 signature
  • 0 check-boxes
  • 76 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Bloomington

BROWSE CITY OF BLOOMINGTON (MN) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Name____________________________________________________ Phone (_____) _______ - __________
Home Address ________________________________ City _________________ State _____ Zip ________
Local Address ________________________________ City _________________ State _____ Zip ________
E-mail __________________________________________________________________________________
Height ________________ Weight ________________ Color of Hair ___________ Color of Eyes _________
Place of Birth __________________________________________ Date of Birth _______________________
Are you a U.S. Citizen? Yes ______ No ______ Are you over 18? Yes ______ No ______
If yes, but your birthplace was not in the U.S., please provide a Certicate of Naturalization, Certicate
of Citizenship or current U.S. Passport. If no, present proof of Immigration/employment status.
Do you drive a vehicle in connection with this work? Yes ______ No ______ If yes, describe vehicle
Color ________ Make _________ Model _________ Year ___________ State License Plate # _____________
Do you have a valid driver’s license?
If yes: Driver’s License # _____________________ State _____________
If no: Do you have a State ID? Card # ______________________________ State _____________
What is your relationship to the business? (Owner, Sales) _________________________________________
List last ve cities or other localities where applicant conducted solicitation immediately preceding date of
application.
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Applicant
First Full Middle Last Maiden
Solicitor/Peddler
Application
City Clerk
Business Licensing
1800 W. Old Shakopee Road
Bloomington MN 55431-3027
PH 952-563-8728
TTY 952-563-8740
BloomingtonMN.gov
53_115 Solicitor Peddlar App pg1 of 2 (05/18)
Continue to page 2
Solicitor - valid for 6 months
Peddler/Hawker - valid for 6 months
For-profit__________ or Non-Profit__________
No Solicitation/Peddling between the hours of 9 pm - 9 am.
Application Number: LCSP20______________________
Expiration date: ______________________
All applicants must apply in person for an ID photo.
City license and identication must be carried when
working in Bloomington.
Allow 7 working days to process.
(Office Use Only)
Date Application received __________________ Photo _____________________
Payment entered (4 digits) __________________ ID (copy dl) _________________
Call for Pick up _______ Mail _______________ Citizenship __________________
businesslicensing@bloomingtonmn.gov
Clear Form
53_115 Solicitor Peddlar App pg1 of 2 (05/18)
Solicitor/Peddler License Application
The data on this form will be used to approve your license. Some requested data may be private. Private data is available
to you and the City or State staff who need this information to perform their duties, but is not available to the public. You
are not legally required to provide this data, but the City may not be able to approve your license if you do not provide it.
The Bloomington Solicitor and Peddler City Code, Chapter 14, is available online at BloomingtonMN.gov. By signing this
application, you acknowledge that you have read and understand the Solicitor/Peddler Bloomington City Code.
I declare that the information I have provided on this application is truthful and I understand that falsication of answers
on this application will result in denial of the application. I authorize the City of Bloomington to investigate and make
whatever inquiries that are necessary to verify the information provided.
Applicant Signature: _______________________________________________ Date Signed _____/_____/__________
Business
Business Name___________________________________________________________________________
Address _____________________________________ City _________________ State _____ Zip ________
E-mail Address __________________________________________________ Phone (____) ____ - ________
Supervising Manager _____________________________________________ Phone (____) ____ - ________
Contractor ID# __________________________________________________
Describe the merchandise or service to be solicited or peddled ______________________________________
________________________________________________________________________________________
________________________________________________________________________________________
If Installers or subcontractors are used, you must provide a list with names, addresses and phone numbers.
Have you or the rm or business employing you been the subject of an investigation by a consumer
protection agency or state attorney general office? Yes _____ No _____
If yes, provide the dates and outcome of such investigation.
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Have you or your company had a registration, license and/or identication card for solicitation denied or
revoked by the City or any other government body within three years before the application date?
Yes _____ No _____
If yes, provide the details and locations.
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Have you ever been convicted of any felony, crime or violation of any ordinance other than a minor
traffic offense? Yes _____ No _____
If yes, provide the time, place, offense and penalty imposed.
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

SolicitorPeddler Application Solicitor - valid for 6 months (City of Bloomington)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 16 January 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document