Application for Transient Retail Business License

Overview

This document is an application form for a Transient Retail Business License issued by the Borough of Ebensburg, Pennsylvania. It is designed for individuals or businesses seeking permission to conduct transient retail operations within the borough's jurisdiction.

Required Information

Applicants must complete the following sections to submit a valid application:

• Personal Details:
  • Name of Applicant
  • Date and Place of Birth
  • Social Security Number
  • Mailing Address
  • Telephone Number
• Employment/Principal Information:
  • Name and Address of Employer or Principal (if applicable)
• Business Details:
  • Nature of Business
  • Type of Goods, Wares, and Merchandise to be sold
  • Type of Business: Applicants must check one or more boxes for:
    • Transient
    • On Public Property
    • Photography
  • Proposed Days and Hours of Operation
  • Number of persons used in solicitation
• Legal Compliance:
  • Disclosure of any criminal convictions in any jurisdiction (Yes/No)
  • Details regarding any convictions
• Additional Information: Space for extra notes or requirements.

Submission Requirements

To finalize the application, the document must be signed and dated at the bottom:

• Name of Applicant
• Signature of Applicant
• Date

Contact Information

The form directs applicants to see the reverse side for important details. The contact information for the Borough of Ebensburg is provided as follows:

• Address: 300 West High Street, Ebensburg, Pennsylvania 15931
• Phone: 814-472-8780
• Fax: 814-472-8789
• Email: eburg@ebensburgpa. com