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Transient Merchant and Peddler/Solicitor Permit Applications
The full transient merchant ordinance information is available here:
Transient Merchants Ordinance
Download the application forms
Download the Peddler/Solicitors Permit Form
Download the Transient Merchant Permit Form
Fill out the online application form
Transient Merchant Application Form
Peddlers/Solicitors Application Form
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Transient Merchant Permit Applicaiton
Step
1
of
6
16%
If multiple individuals are representing a company, this section should be completed by the supervisor of the group.
Fee Schedule
(Required)
Select the Fee Choice for your application
One Day $ 10
One Week $ 25
One Month $75
One Year $500
Company Name
(Required)
Address
(Required)
Street Address
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Armed Forces Americas
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ZIP Code
Name of owner/Supervisor
First
Last
Phone
(Required)
Email
(Required)
Enter Email
Confirm Email
Orange City Operating Address
(Required)
Street Address
Include a site map
(Required)
Yes
No
Site Map Upload
Max. file size: 32 MB.
Proof State Sale Tax
(Required)
State Tax ID #
(Required)
Exemption from State/Federal Tax
(Required)
What motor vehicles/trailers will be used in connection with the conduction of business?
Make
(Required)
Model
(Required)
Color
(Required)
License Plate #
(Required)
List the last three places you’ve engaged in similar activity- City and State:
Provided Proof of liability insurance with a minimum amount of $1,000,000.00
Insurance Documentation
Max. file size: 32 MB.
Date business will Commence
(Required)
MM slash DD slash YYYY
Date Business will Terminate
(Required)
MM slash DD slash YYYY
Applicant Signature
(Required)
By signing you agree that the above information is complete.
CAPTCHA
PEDDLERS/SOLICITORS PERMIT APPLICATION
Step
1
of
9
11%
If multiple individuals are representing a company, this section should be completed by the supervisor of the group.
Fee Schedule
(Required)
Select the Fee Choice for your application
One Day $ 10
One Week $ 25
One Month $75
One Year $500
Company Name
(Required)
Address
(Required)
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Supervisor Name
First
Last
Phone
(Required)
Email
(Required)
Enter Email
Confirm Email
Add additional operator names
Any additional persons who will be operating under this license, which includes their names, date of birth, permanent address and telephone number
Required current photo included per peddler/solicitor
(Required)
Max. file size: 32 MB.
Upload a current photo.
Proof State Sale Tax
(Required)
State Tax ID #
(Required)
Exemption from State/Federal Tax
(Required)
What motor vehicles/trailers will be used in connection with the conduction of business?
Make
(Required)
Model
(Required)
Color
(Required)
License Plate #
(Required)
List the last three places you’ve engaged in similar activity- City and State:
Have any individuals listed been convicted of a felony or misdemeanor, except traffic charges?
(Required)
Yes
No
Conviction Information
Please give the Name, Date, Place of Conviction and nature of crime.
Name
(Required)
First
Last
Date
(Required)
MM slash DD slash YYYY
Place
(Required)
Crime
(Required)
Provided Proof of liability insurance with a minimum amount of $1,000,000.00
Insurance Documentation
Max. file size: 32 MB.
Date business will Commence
(Required)
MM slash DD slash YYYY
Date Business will Terminate
(Required)
MM slash DD slash YYYY
Applicant Signature
(Required)
By signing you agree that the above information is complete.
Approved or Denied
City office Staff use only
Approved
Denied
Additional Information for Police background investigation. I authorize the City of Orange City, Iowa to check my background to determine suitability for a peddler’s/solicitor’s/transient merchant’s permit. I understand that this includes gathering of information relative to violation(s) of law which resulted in conviction(s). My signature releases other police and civilian agencies, employers, universities, colleges, and military services from liability for supplying background information to the City of Orange City, Iowa. In addition, my signature releases the City of Orange City from liability for any statements, acts, or omissions in the course of the investigation into my background, employment history, health, family, personal habits, and reputation. I understand that I am relinquishing all legal rights and causes of action related to the City of Orange City investigation into my suitability for a permit. I understand that this release may be photocopied and submitted for multiple checks related to this position.
Date
(Required)
MM slash DD slash YYYY
Name
(Required)
First
Last
Date of Birth
(Required)
MM slash DD slash YYYY
Address
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Phone
(Required)
Number you can be reached at
Last 4-digits SS#
(Required)
DO NOT enter your Full Social Security #
Signature
CAPTCHA
Bridal Vendor Payment
Dordt Baseball Prospect Camps
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