(Sample) Hawkers, Peddlers, Transient Vendors License
Aug 04, 2017
submission
#3
License Application
Fee waiver - If the answer to either of the below two questions is YES, the $50.00 fee is waived.
| I already have a State License (copy provided) under Chapter 101 of the General Laws | Yes |
| I represent a bona fide, voluntary, non-profit, veteran’s or religious organization with a usual place of business in the Town. | Yes |
Applicant Information
| Type of goods sold: | aefasdf |
| Where will activity take place? | 101 Beacon St Boston |
| When will the activity take place (date) | 2017-08-04 |
| During what times? | 8 AM |
| Name: | Test |
| Date of Birth | --- |
| Phone | --- |
| --- | |
| Do you use a motor vehicle? | No |
| Have you been convicted of any offense against the laws of this state or the ordinances or bylaws of any city of town? | No |
Attest
| Pursuant to STATE General Law Chapter 62C Section 49A, I certify under the penalties of perjury that I, to the best of my knowledge and belief, have filed all State Tax Returns and paid all State Taxes required under law. [type name] | --- |
| Date | 2017-08-04 |