Outdoor Seller Check List    

Outdoor Seller Check List  Both Applications – signed and notarized. Notary service provided for a $3.00 fee, if needed.  Sales Tax Permit Number  Site Plan  Legal Description  Permission from property owner in writing and notarized, unless seller owns property.  Immigration Affidavit  Current City‐County Health Inspection (if selling food product). Contact number is 405‐425‐4348. All of these documents must be submitted to the City of Oklahoma City Development Center, License Office at 420 W Main St., 8th floor. Please provide a good contact name and phone number on the application. The review process will take 2‐5 business days. The City of
OKLAHOMA CITY
Development Services Department
Development Center - Licenses
420 W Main 8th Floor
Oklahoma City Ok 73102
Office (405) 297-2606 / FAX: 405-297-1676
Outdoor Seller, Peddler
and/or
Solicitor's License
Applicant:
Please Print
First
Middle Initial
Social Security Number
Last Name
Age
Male
Female
Height
Weight
Color of Hair
Color of eyes
Date of Birth
City
State
Zip
City
State
Zip
Address:
Legal Address:
State Nature of Business:
Type of Goods to be sold or service to be performed:
Name and Address of employer with brief description of credentials showing exact relationship:
Self-employed Yes ________ No ________
Company Name
Length of time which, "to the right to do business" is desired:
Describe vehicle to be used, if any:
State License number:
(Attach verification that applicant or his employer is registered with the Oklahoma Tax Commission or other proof that sales
tax has been or is being paid on items sold or to be sold. If applicant or his employer is exempt from payment of sales tax,
Have you been convicted of a felony?
If yes, state nature & penalty:
Do you have any previous convictions for violations of the Oklahoma City Municipal Code?
If so, state nature and the penalty:
Additional licensing requirements for fixed outdoor business locations:
1. Attach a site plan approved by the Development Center, Plan Review Section, depicting the fixed outdoor location desired if any legal description of the
property and the location of any structure, vehicle, sign or display to be used while conducting the business at such fixed location. Also, mark the type and
location of any signs to be used.
2. Attach a written notarized statement by the legal owner of the property upon which any fixed outdoor business location shall be located authorizing the use
of the land for the purposes desired by the applicant. Attach proof of ownership of person executing the statement or, if the applicant is the property owner,
proof to that effect.
AFFIDAVIT
being first duly sworn, deposes and says that
to the best of his/her knowledge, the answer to the above questions are true.
Signature of Applicant
Subscribed and sworn to before me this
day of
, 20
.
My Commission Expires:
Notary Public
Approved:
Reason for disapproval:
Revised 12/3/2012
Disapproved:
Date:
Oklahoma City Police Department
City of Oklahoma City
Development Services Department
Licensing
420 W. Main, 8th Floor
Oklahoma City, Ok 73102
(405) 297-2606
Please complete all three sections of this form. No licenses will be issued without verifiable business
ownership information and valid applicant information. All County, State and Federal licenses related to the
business must be listed on this form. The Supervisor of Licenses may revoke or suspend a license or permit
pursuant to Chapter 26-18 of the Oklahoma City Municipal Code 2010. Additional information not requested
on this form may be required prior to the issuance of any license.
Please submit a valid driver’s license or State issued ID.
Please check the following that apply:
New Business License
Renewal License
Type License
Additional License(s)
Type License
Business Information
Name of Business
Bus. Website
Business Address
Bus. Email
Zip
Bus. Phone#
_______
Business Type/Use (example, used merchandise sales, car sales, bar/grill etc.)
________________________________________________________________________
______________
Outdoor Seller, Peddler, and Solicitor please describe how merchandise will be sold and attach a list of items to be
sold:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
DBA or Business Owner’s Name
Bus. Fax#
Business Owner’s Address( NOT business address)
City
State
Email Address
Zip
Phone#
Cell#
Owner’s Signature
_______
Date
Applicant Information
Applicant’s Name
Phone#
Cell#
_______
Address ( NOT business address)
City
Email Address
State
Zip
Applicant’s Title
Applicant’s Signature
Date
License Information
Oklahoma Sales Tax Permit Number
S.S.N
State I.D.or Drivers License Number
Federal I.D. Number
ABLE License
County License
SPUD #
_______
OKC Business Distrct_______________________________________________________________________
Revised 11/29/12 __
The City of
OKLAHOMA CITY
Development Services Department
Development Center – Licensing
th
420 W Main 8 Floor
Oklahoma City Ok 73102
Office (405) 297-2606 / FAX: 405-297-1676
AFFIDAVIT
VERIFYING LAWFUL
PRESENCE IN THE
UNITED STATES
Instructions for Required Affidavit:
All natural persons fourteen (14) years of age or older and present in the United States,
applying for a license with The City of Oklahoma City are required, by the provisions of 56
O.S. Supp. 2007 § 71, to provide the City with verification of lawful presence in the United
States by executing the Affidavit below. The Affidavit must be notarized. To receive free
notary service, you must bring the affidavit in person and sign in the presence of a
notary. The licensing office is located at 420 West Main Street, 8th floor, Oklahoma City,
OK 73102.
AFFIDAVIT VERIFYING LAWFUL PRESENCE IN THE UNITED STATES
I, the undersigned applicant being of lawful age and being first duly sworn, state that one
of the following statements is true and correct. (Check which of the following statements
apply).
_________ I am a United States citizen.
_________ I am a qualified alien under the Federal Immigration and Nationality Act and
am lawfully present in the United States.
I state under penalty of perjury under the laws of Oklahoma that I have read and
understand the foregoing statements, and that they are true and correct.
Date: ________________
Applicant’s Name: (Printed) _________________________________________________
Applicant’s Signature:
___________________________________________________
For Notary Only:
Subscribed and sworn to or affirmed before me by _____________________________
this _____ day of __________________ , 20______.
___________________________________
Notary Public
(or officer having power to administer oaths)
My Commission Expires: _________________
My Commission Number: _________________
Seal