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Food/Ice Cream
Household Articles
Soliciting Goods for Future Delivery
Soliciting for Contraction of Services
Seeking Contribution
Seeking Contribution (Charitable)
Temporary Selling/Delivering
AL
AK
AZ
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CO
CT
DE
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KS
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WA
WV
WI
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- Territories -
AS
GU
MP
PR
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VI
- Armed Forces -
AA
AP
AE
Yes
No
With Automobile
With Hand Cart
On Foot Without Wheeled Vehicle
Yes
No
Pies Cakes and Bread
Fruit and Produce
Ice Cream and Frozen foods with Frozen Confections
Sandwiches and Lunches
Household articles or furnishings
Solicitor AA selling goods by sample or taking orders
Solicitor BA Person soliciting for contraction of services like dry cleaning
Solicitor CA Person seeking any form of contribution for other than a religious or charitable or non profit organizations
Solicitor DA Person seeking any form of contribution for a religious or charitable or non profit organizations
Solicitor E Temporary business selling and delivering goods and services
Cash
Check
Type Full Name :
Sign With Hand
Clear
Done
Pickup
Email
Peddler/Solicitors: Give a detailed description of Goods to be Sold
Insurance Policy #
Address
Name
Last Name
*
Has the Applicant ever been convicted of a crime(s), disorderly person offense(s) or municipal ordinance violation(s)?
City
*
Certification
Year
Phone #
*
Click 'Select files...' to add an attachment. NOTE: Pawn shops MUST submit a $10,000 surety bond before the application can be approved.
Make and Model
Per Middlesex Borough Ordinance, Application is hereby required that the Applicant be fingerprinted for a background investigation before any license may be issued.
Address
*
Phone #
Surcharge Fee
Insurance Company
Business Name (if applicable)
Provide information for the
Owner
of the Vehicle
Social Security #
License Fee
Are you a veteran?
{[PNAME]} Application
Preferred License Delivery Method
First Name
*
Has the Driver and/or Seller ever been convicted of a crime(s), disorderly person offense(s) or municipal ordinance violation(s)?
Are you the Business Owner?
*
Date of Birth
The Undersigned hereby makes application for a license to carry on the business of PEDDLER OR SOLICITOR
Email
*
You will NOT receive a license without fingerprints and approval. NOTE: License must be renewed by June 1st every year.
Business Information
{[CNAME]}
Name
Color
Business Address
Applicant Signature
*
Drivers License #
How do you intend to pay? Note: There is a 3% surcharge if paying by Credit Card and a $.25 fee if by eCheck.
*
ZIP
*
Name
Pawn Shop?
*
If you answered "Yes" to any of the above, describe the conviction(s) and provide date(s)
Applicant Information
Vehicle Information
Provide information for the
Driver
of the Vehicle
Attachments
Are you a US Citizen?
Address
License Plate #
If
"No"
, provide the Business Owner's Information
Address
Has the Business Owner ever been convicted of a crime(s), disorderly person offense(s) or municipal ordinance violation(s)?
Total Fee
Phone #
Application Fee
For Peddler/Solicitors: Choose the type of Goods to be Sold
State
*
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
Confirmation email sent to:
Reference Number:
You will NOT receive a license without fingerprints and approval. Please contact the Police Department at 732-356-1900 to start the fingerprinting and background check process.
Date Submitted:
Your application has been submitted successfully.