Required fields are marked with asterisks (*)

Transient Merchant/Itinerant Vendor License Application

All applications, licenses and permits are subject to approval.

Company Name

Company Contact Person

Company Address

Company Phone Number

Company Email Address

Person Selling

Sellers Address

Phone Number

Sellers email

Upload a copy of your Photo ID or Driver's License

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Upload a copy of your Illinois Department of Revenue Certificate of Registration

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Upload a copy of Certificate of Insurance

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The location where you intend to do business

Dates of sale

What is the nature of the business you intend to conduct?

List a complete inventory of the goods you intend to offer for sale.

Provide a complete list and description of the service or services you intend to offer for sale.

List all licenses to conduct business as a transient merchant or itinerant vendor in the City of Mt. Vernon for the past year

Upload copies of licenses issued by the state of Illinois

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Upload a copy of your written permission from the Landowner of the property.

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Would you like a copy of the ordinance pertaining to this license?

Yes

I certify that the information provided is true, that the operator has read the ordinance and will comply with all applicable requirements.

Date

For Office Use Only

Filed this day of ,20 .

City Clerk

Date of issue: License #:

Cost: Cash Deposit:

Effective Dates: From To