Peddler License - Online Application

Please return the application and background check to city hall with your license fee.

First

Last

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Phone Number

Ext #

Email Address

Company Name

Company Address:

Company Phone Number

Driver's License Number/ State Issued

Have you ever been convicted of a crime?

Please Explain:

Hours of Operation

Days of the Week

SUN/MON/TUE/WED/THURS/FRI/SAT

Location:________________________Ashland City, TN 37015

Length of Time Requested: Beginning date- Ending

(EACH APPLICANT FOR A PEDDLER LICENSE US A FEE OF $ 25) (EACH APPLICANT FOR A CHARITABLE OR RELIGIOUS PURPOSE IS A $ 10 FEE)

Include a 2" photo of the Applicant

References

Add 2 reputable local property owners who will certify as to the moral reputation and business responsibility. If not available, then list 2 other businesses you have been associated with.

First

Last

Suffix

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

REFERENCE 1 PHONE NUMBER

REFERNCE 1 EMAIL ADDRESS

First

Last

Suffix

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

REFERNCE 2 PHONE NUMBER

REFERENCE 2 EMAIL ADDRESS

First

Last

Suffix

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

REFERENCE 3 PHONE NUMBER

REFERENCE 3 EMAIL

Confirm email

PLEASE ENTER THE LAST 3 CITIES OR TOWNS YOU HAVE CONDUCTED BUSINESS:

EACH APPLICANT WILL BE REQUIRED TO PROVIDE DOCUMENTATION, AT THEIR EXPENSE, OF A CERTIFIED CRIMINAL BACKGROUND FROM THE TENNESSEE BUREAU OF INVESTIGATION WITH THIS APPLICATION. VISIT WWW.TN.GOV OR CALL TBI AT (615)744-4057. UPON APPROVAL OF APPLICATION, EVERY APPLICANT SHALL FILE WITH THE CITY CLERK A SURETY BOND, HELD BY THE TOWN OF ASHLAND CITY IN THE AMOUNT OF $1000.00. THE BOND SHALL BE CONDITIONED THAT ALL THE PROVISIONS OF THE TOWN OF ASHLAND CITY’S ORDINANCES AND STATUES OF THE STATE OF TENNESSEE.

SIGNATURE:______________________________DATE:_____________________________

___________________________FOR OFFICE USE ONLY_________________________

APPLICATION AND FEE RECEIVED _______________________DATE______________________ BACKGROUND RECEIVED AND REVIEWED _____Y______N APPLICANT CONTACTED_____LICENSE ISSUED_____DATE_________ LICENSE EXPIRES______________________________________________

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Peddler License - Online Application

Supporting Documents