Precious Metal Dealer Permit Application

License Application for - Precious Metal Dealer

MUNICIPAL CODE SECTION – 4-44
South Bend Municipal Code: Section 4-44

Definition:

Precious Metals Dealer refers to any person who claims to the public to be a purchaser of precious metals, or who in doing business engages in purchasing, trading, or offering by consignment silver, gold or other precious metals.

General Instructions
1. Assemble all required information and materials before filing application.
2. Thoroughly review all applicable Municipal Code Sections listed above.
3. Licenses expire January 31.
4. Add 10% to license fee for renewal after expiration date.
5. Include $5.00 license application fee payable to City of South Bend.
6. License fee payable to City of South Bend due at issuance - $75
7. Report daily transaction to the SBPD in electronic form. The SBPD utilizes LeadsOnline as the sole means to electronically accept these daily transaction reports. Go to www.leadsonline.com to register your business.
Application Process
1. Submit Application with $5.00 Processing Fee.
2. Police background check of applicant.
3. License issued upon approval and payment of the license fee.
4. Precious Metals Reports and Records to be filed and maintained per Municipal Code Section 4-44.
NOTE – IN ADDITION TO THE ABOVE, PRECIOUS METAL DEALERS MUST REGISTER WITH THE SECRETARY OF STATE’S OFFICE

As of January 1, 2014, all precious metal dealers, commonly referred to as cash for gold, are required to register as a dealer annually with both the Indiana Secretary of State’s office and local law enforcement (The Department of Community Investment Business Licensing processes the local registry on behalf of the law enforcement). Precious metal dealers can register online with the Secretary of State’s office at https://secure.in.gov/apps/sos/precious/.

Be advised, this registration is to do business as a precious metal dealer in South Bend, Indiana. You must separately register as a business in the State of Indiana with the Indiana Secretary of State’s office as well. Businesses can register online with the Secretary of State’s office at https://inbiz.in.gov/BOS/Home/Index.

Application Type
Is this application pertaining to a new business or are you renewing your existing permit?*

New PermitRenew Permit
Business Data
Business Name*
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is there a Mailing Address different from the Business Address

YesNo
Business Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Business Email Address*
example@example.com
You are required to be registered on LeadsOnline for this license to be valid.
Have you registered the business with LeadsOnline?

YesNo
Type of Goods, Wares, or Merchandise to be sold
Personal Data
Applicant's Legal Name*

First NameMiddle NameLast Name
Residential Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant Home Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Applicant Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Applicant Email*
example@example.com
Position with Business*
Last Four Digits of Applicant's Social Security Number
Copy of Applicant's Driver's License or other government-issued ID

Cancelof
Applicant's Gender
Applicant's Date of Birth

MonthDayYear
Applicant's Race
Are you the owner of the business?

YesNo
Owner's Legal Name*

First NameMiddle NameLast Name
Owner's Residential Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Owner's Home Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Owner's Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Owner's Email*
example@example.com
Last Four Digits of Owner's Social Security Number
Copy of Owner's Driver's License or other government-issued ID

Cancelof
Owner's Race
Owner's Date of Birth

MonthDayYear
Owner's Gender
Signature
I, hereby, certify and affirm that all the information I have given in this application is true and accurate to the best of my knowledge. I further certify that I have in no way attempted to mislead the City in this application by omitting facts known to me. I have read and understand the regulations of the Precious Metals Dealer license found in the City of South Bend Municipal Code, Section 4-44
Electronic Signature*

First NameLast Name
Date*

MonthDayYear
Date
Should be Empty:

License Application for - Precious Metal Dealer

Definition:

General Instructions

Application Process

Application Type

Business Data

Personal Data

Signature