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