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Application for Solicitor Permit – COMPANY

Application for Solicitor Permit - COMPANY


  • INFORMATION ON THIS APPLICATION IS PUBLIC RECORD

    ATTENTION: Before completing this application, you will need the document listed below saved to your computer and available to upload with this application.

    Company is responsible for updating all changes in Company's Solicitors List as needed.

    TOTAL FEES DUE WITH THIS APPLICATION = $125.00
    > Application fee = $50.00
    > Supervisor background check fee = $75.00

    Any information you enter on this application will not be saved if you begin and return later.



    * indicates required field


  • SUPERVISOR/MANAGER

  • I HEREBY CERTIFY THAT THE INFORMATION PROVIDED IN THIS APPLICATION IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE. I FURTHER UNDERSTAND THAT ANY FALSE STATEMENT OR OMISSION OF INFORMATION WILL BE CAUSE FOR LICENSE SUSPENSION, REVOCATION, OR GROUNDS FOR THE TOWN TO REFUSE TO ISSUE THE LICENSE.