[City of Prescott] City of Prescott Peddler/Solicitor License Application

Peddler/Solicitor License Application
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Applicant's Email*
Applicant's Phone Number*
Please enter a valid phone number.
Social Security Number
Driver's License State & Number*
Date of Birth*
Height*
Weight*
Eye Color*
Hair Color*
Name of Business Represented*
Business Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number of Business Represented*
Employer Identification Number (EIN) / Tax Id #*
License Plate Number/Make/Model/Color of Vehicle Used While Conducting Business*
List the most recent Cities/Towns where you've conducted this business. Include Dates.*
What Goods or Services are to be Sold?*
How and where do you plan on making sales?*
Address or Description if a Fixed Location will be used Where Sales Will Be Made
*Temporary Use Permit will be required from Community Development (928) 777-1207
References

Provide Two Character References from Yavapai County Property Owners OR Recent Employers
Reference #1: Name*

First NameLast Name
Relation*
(friend, coworker, supervisor, ex-supervisor, etc.)
Phone Number of Reference*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Reference #2: Name*

First NameLast Name
Relation*
(friend, coworker, supervisor, ex-supervisor, etc.)
Phone Number of Reference*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Have you ever been arrested?*

YESNO
Explanation of Arrest
LICENSING ELIGIBILITY To be compliant with A.R.S.41-1080, before issuing a license to an individual, that individual must present one of the following documents to the City of Prescott indicating that the individual’s presence in the United States is authorized under federal law:*

An Arizona Drives License issued after 1996 or an Arizona non-operating identificationA driver's license issued by a state that verifies lawful presence in the United StatesA birth certificate or delayed birth certificate issued in any state, territory or possession of the United StatesA United States certificate of birth abroadA U.S. passportA foreign passport with a U.S. VisaAn I-94 form with photographA U.S. citizenship and immigration services employment authorization document or refugee travel documentA U.S. certificate of citizenshipA United States certificate of naturalizationA tribal certificate of Indian bloodA tribal or Bureau of Indian Affairs affidavit of birthAny other license that is issued by the federal government, any other state government, an agency of this state or a political subdivision of this state that requires proof of citizenship or lawful alien status before issuing the license
Please upload your Driver's License or another form of ID from the list above.*

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Please upload a headshot to be used on your peddler/solicitor ID card, or take a photo below.*

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Applicant understands that it is unlawful for:

• Any peddler, solicitor, or transient merchant to make exclusive use of any location on any street, alley, sidewalk, or right-of-way for the purpose of selling, delivering, or exhibiting goods or merchandise. See Prescott City Code 4-4-2(B)(2).

• Any peddler, solicitor, or transient merchant to operate in a congested area where such operation may impede or inconvenience the public use of such street, alley, sidewalk, or right-of-way. For the purpose of this article, the judgment of a police officer, exercised in good faith, is conclusive as to whether the area is congested and the public impeded or inconvenienced. See Prescott City Code 4-4-2(B)(3).

• Any person to exhibit or display any copy or facsimile of the original license issued under this article. See Prescott City Code 4-4-2(B)(5).

• Any licensee, or person working on their behalf, to cry out, blow a horn, ring a bell or use any sound-amplifying devise upon any of the streets, alleys parks or other public places of the City or upon private premises where the sound of sufficient volume is emitted or produced therefrom to be capable of being plainly heard upon the streets, avenues, alleys, parks or other public places, for the purpose of attracting attention to any goods, wares or merchandise which such licensee proposes to sell. See Prescott City Code 4-4-8.

• Any peddler, solicitor, canvasser, or transient merchant to display signs on the exterior of any structure; no signs or temporary signs shall be allowed. See Prescott City Code 4-4-2(B)(3).

• Any peddler, solicitor, canvasser or transient merchant, their agents or representatives, to come upon any premises whereon a sign bearing the words “no trespassing” or “no peddlers” or “no canvassers” or “no solicitors” or any combination of such terms or terms similar thereto is exposed to public view or to remain on any premises after having been requested to leave by the owner or occupant thereof whether such premises are posted as specified above or not. See Arizona Revised Statues §§ 13-1502, 13-1503, 13-1504.
I hereby certify that the statements made herein have been examined by me and they are, to the best of my knowledge and belief, true and complete. I also certify that I am familiar with the Code provisions governing this license or identification card. I understand that I may be responsible for reporting and remitting sales tax for the City of Prescott on my State of AZ DOR (Department of Revenue) report in conjunction with this license. I further understand that this license is subject to investigation and for cause may be denied and this license fee is nonrefundable.*

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Payment

Required fees: Every applicant for a license shall post a cash bond with the City Clerk in the amount of two hundred dollars ($200.00) for the first applicant of a business or organization, plus one hundred dollars ($100.00) for each additional employee, agent or independent dealer acting in the capacity of peddler or solicitor. The total bond required shall not exceed one thousand dollars ($1,000.00). First business/organization applicant: $260 Secondary applicant of same business/organization: $160 Renewal Fee: $10 (to renew for 1 additional year before current expiration date) (3% card processing fee will be added)

Choose 1:*

First ApplicantInitial Application for a City of Prescott Peddler/Solicitor License

$260.00

Secondary ApplicantSecondary Applicant from a business that already holds at least one City of Prescott Peddler/Solicitor License

$160.00

Annual Renewal

$10.00

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Credit Card Details
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Card Expiration

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Peddler/Solicitor License Application

References

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