Type Full Name :
Sign With Hand
Phone *
The undersigned does hereby certify that all of the foregoing information is true and complete, acknowledges that the Borough will rely on such information in issuing the license for which the application has been filed, and agrees to comply with all laws and ordinances of the borough regarding operation of the proposed business.
If "Yes", describe reason for denial or revocation
Emergency Phone *
Borough of
Address *
If "Yes", set forth the Date and Place of each conviction
Applicant Signature *
Business Owner Name *
Email *
First Name *
Ownership Type*
Phone *
State *
License Fee
Business Information
Provide details of all previous residential address(es) for the applicant in the last five (5) years.
If "Other", specify
Email *
Description of Proposed Business *
State *
Name of Business *
Address *
City *
Zip *
Mercantile License Application
Applicant Background Information
New/Renewal? *
Last Name *
Zip *
Has Applicant or any owner entered above thereof ever been convicted of a crime of the first, second, third or fourth degree?
Amount Due
City *
315 East Main Street
Oceanport, NJ 07747
(732) 222-8221
For Corporation or Partnership, please provide the names and addresses of all members or partners.
Has Applicant's Mercantile License in this or any other municipality ever been denied or revoked?
Applicant Information
Business Ownership Information