Fillable Taxicab-Permit-Application - Taxicab Permit application

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Taxicab-Permit-Application - Taxicab Permit application

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The Taxicab-Permit-Application - Taxicab Permit application form is 3 pages long and contains:

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  • 4 check-boxes
  • 59 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Kemah

BROWSE CITY OF KEMAH (TX) FORMS

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City of Kemah
Taxicab Permit Application
Applicant name: _____________________________________________________________________
Current Address: ____________________________________ City: ______________ Zip: __________
Phone Number: ________________________
Drivers License Number: ________________________________ Class: __________
Expiration Date: _______________________________________
Social Security Number: _______ - _____- _______
What type of entity do you represent? Individual Corporation Partnership
Trade name under which the taxicab(s) will be operated. ______________________________________
Location where the taxicab(s) will be stationed. _____________________________________________
Complete list of all taxicabs to include; make, model, year of vehicle, license plate number, and
any company identification number.
Copy of the current Texas annual motor vehicle inspection report or certificate.
Copy of the public liability insurance with at least $100,000 per person and $300,000 per
occurrence of injury, death, or property damage. This must be issued by an insurance company
rated by the State of Texas as acceptable to the City of Kemah for losses that may result from
operation of the taxicab within the City of Kemah.
Application Fee
I certify that the information contained in this permit is true and correct and that I will comply with City
Ordinance 1003, which governs the operation of taxicabs within the City of Kemah. I further certify
that none of the drivers, officers, or owners has been convicted of a felony or a crime involving moral
turpitude.
____________________________________________ ________________________
Signature of Applicant Date
____________________________________________ ________________________
City Secretary or Representative Date
City of Kemah
Taxicab Permit Application/Corporation Attachment
Corporation’s Full Corporate Name:______________________________________________________
State of Registration: ______________________________
Principal Place of Business:_____________________________________________________________
Name and Drivers License Number of all Current Officers of Corporation:
1) ________________________________________________
2) ________________________________________________
3) ________________________________________________
4) ________________________________________________
5) ________________________________________________
6) ________________________________________________
7) ________________________________________________
8) ________________________________________________
9) ________________________________________________
10) ________________________________________________
City of Kemah
Taxicab Permit Application/Partnership Attachment
Name of Partnership: __________________________________________________________________
Principle Place of Business: _____________________________________________________________
Names, Drivers License Number, and Resident Addresses of all Partners:
Name: _______________________________________ Drivers License:_________________________
Address:______________________________________
City:_______________________ State:_____________
Name: _______________________________________ Drivers License:_________________________
Address:______________________________________
City:_______________________ State:_____________
Name: _______________________________________ Drivers License:_________________________
Address:______________________________________
City:_______________________ State:_____________
Name: _______________________________________ Drivers License:_________________________
Address:______________________________________
City:_______________________ State:_____________
Name: _______________________________________ Drivers License:_________________________
Address:______________________________________
City:_______________________ State:_____________
Name: _______________________________________ Drivers License:_________________________
Address:______________________________________
City:_______________________ State:_____________
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Taxicab-Permit-Application - Taxicab Permit application

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Completed 13 July 2020

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