Peddler Solicitor

AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY - Territories - AS GU MP PR UM VI - Armed Forces - AA AP AE

Male Female

NJ AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

I UNDERSTAND THAT, IF THE BOROUGH OF NEW PROVIDENCE ISSUES A PEDDLERƒ?TS PERMIT TO ME, THAT THIS PERMIT IS NOT TRANSFERABLE TO ANY OTHER PERSON AND THE FEE PAID IS NON-REFUNDABLE

Physical Characteristics

SSN # *

Company Phone # *

State *

Please list the names and full addresses of personal references. A minimum of three (3) references are required for consideration of a Peddler's License.

Fee Due

Applications will NOT be processed without proper documentation. Documents to be submitted with this application:

State License is Issued *

First Name *

3. Notarized letter from company with proper signature(s), authorizing you to act as representative. If you are the company owner, a notarized letter stating this information.

360 Elkwood Avenue, New Providence, NJ 07974
Tel: (908) 665-1400 ext.0/Fax: (908) 665-9272
www.newprov.org

Applicant Signature

Supervisor's Name *

For Peddler License ONLY: Personal References

Driver's License # *

If "Yes", please report date(s), location(s) of the offense(s) and detailed nature of the offense(s):

Address *

PLEASE NOTE: All Peddler Permits expire December 31st of the licensing year, and fees are not pro-rated based on the date of application.

Complete Description of Products to be sold OR products/information to be solicited. *

Phone # *

Have you ever been refused a peddler's permit in any town?

Have you ever been convicted of violating a municipal ordinance in any town?

State *

1. Photocopy of the Certificate of Authority To Collect Sales Tax.

Company Address *

City *

Please provide all the vehicles related to this application. Click the '+ Add new record' button for each event. Enter all information and click 'Save' to save.

Solicitor/Canvasser Permit Fee: $515 per year OR $105 per month

Choose your application: *

Week(s)

Sex *

Owner's Name *

Company Name *

Applicant Information

Product Information

References may NOT be relatives.

ZIP *

Have you been arrested or convicted of a crime or misdemeanor?

Last Name *

City *

2. Photocopy of Applicantƒ?Ts current driverƒ?Ts license.

Company Information

Place of Birth *

Eye Color *

Use the +Add New Record button below to add each Name and address and click Update to save.

I DO SOLEMNLY DECLARE AND CERTIFY, UNDER THE PENALTIES OF THE LAW, THAT THE FOREGOING INFORMATION IS TRUE AND CORRECT, AND THAT THE BUSINESS CONDUCTED WILL BE IN ACCORDANCE WITH THE ORDINANCES OF THE BOROUGH OF NEW PROVIDENCE.

Fee Schedule

File Attachment

Background Information

Application for
Peddler's OR Solicitor/Canvasser License

Specify how long the permit is required:

Vehicles Details

Peddler's Permit Fee: $360 per month OR $105 per week

Date of Birth *

If "Yes", please report date(s), location(s), of the offense(s) and detailed nature of the offense(s):

ZIP *

Weight * (lbs)

If "Yes", please report date(s), location(s) of the offense(s) and detailed nature of the offense(s):

Year OR

Hair Color *

Height * (Feet & Inch(es))

Borough of
New Providence

Month(s) OR

Email *