phone Call us: (518) 853-3815
email Email Us

Peddler Permit Application




Business Name:                                                                                                                                 

Federal ID Number:                                                                                                                           

Home Address:                                                                                                                                  

Cell number:                                                                 Home:                                                          

Age:                                                                Social Security Number:                                           

Signature of Applicant:                                                                                                                     

The undersigned hereby makes application for a permit to carry on the business of PEDDLER OR HAWKER.

Circle one:  With Automobile      Hand Cart     On foot w/o wheeled Vehicle

Within the Village of Fultonville subject to the provisions of the Village Code.


Goods to be sold:                                                                                                                               

Vehicle Description (if applicable):                                                                                                  

Year, make and color:                                                                                                                       

License plate number:                                                                                                                       

Serial number:                                                                                                                                   

Insurance Company:                                                                                                                          

Policy number:                                               ( Attach a copy of insurance card)

Business owner:                                                                                                                                 

Business ID number:                                                                                                                         

Home Address:                                                                                                                                  

Home phone:                                                   Business phone:                                                        

Business Address:                                                                                                                              

Operator Name:                                                                                                                              


Driver License number:                                                                           (Attach copy of License)

Business Ownership: Is Applicant owner?    YES      NO

If No: Owner name:                                                                                                                        

Home Address:                                                                                                                                  

Business Address:                                                                                                                              

Home phone:                                                    Business phone:                                                       

List all home addresses for the owner, applicant, and/or sellers of goods drivers for the past ten (10) years on a separate sheet of paper.


Has the owner ever been convicted of a crime?   YES   NO.

Has the driver(s) and/or sellers ever been convicted of a crime?   YES   NO.

Has the applicant ever been convicted of a crime?   YES   NO.

Have owner, applicant, drivers and/or sellers ever been arrested?   YES   NO.

Explain all affirmative answers:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        

Fee: $40.00   Paid:    check                           cash                             Date:                                      



DENIAL REASON:                                                                                                                                                                                                                                                                                                                                                                                                                                                  

Code Enforcement Officer:                                                                                                               




9/30/2022 8:46:53 AM