Required fields are marked with asterisks (*)

Pawn Broker License Application

All applications, licenses and permits are subject to approval.

Bond in the amount of $1,000.00 is required.

Name of Applicant

Address

Phone Number

Email Address

Business Name

Business Address

Business Phone Number

I certify that the information provided is true, accurate, and complete. I understand that the completion of this application does not guarantee approval.

For Office Use Only

Date of issue:

License:

Cost: $200.00

Effective Date: