Secondhand Stores Permit Application

License Application for - Secondhand Stores

MUNICIPAL CODE SECTION – 4-53
South Bend Municipal Code: Section 4-53

Definition:

Secondhand Store Owners include any person who keeps or maintains a business for the purchase or sale of secondhand clothing, secondhand furniture or secondhand goods, wares or merchandise of any kind.

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 - $115
7. Add $40.00 fee for Outdoor Display
8. 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. Thoroughly review Municipal Code Section 4-53.
2. See Municipal Code Section 4-53 for non-profit and charitable corporation exemptions.
3. Submit Application with $5.00 Processing Fee.
4. Police background check of applicant, inspection of building by the Fire, Building, and Code Enforcement Departments.
5. License issued upon completion of inspections and receipt of payment.
6. Record keeping and inspections required to comply with Municipal Code Section 4-53.

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

New PermitRenew Permit
Will there be outdoor displays on the premises?

YesNo
If you have outdoor displays, there will be an additional $40 permit fee included with your license fee. Business Adminstrator may request additional information.
Does business sell used merchandise only on consignment basis?

YesNo
Is the Business operated by a Not-for-Profit fraternal organization, service club, or religious, educational or charitable institution?

YesNo
If you are a not-for-profit organization and you do not sell used merchandise only on consignment basis, then you are exempt from filling out this form.
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
Zoning of Proposed Business Location
Find the kind of zoning your location is in using the City of South Bend Zoning Map
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 Race
Applicant's Gender
Applicant's Date of Birth

MonthDayYear
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 Secondhand Store license found in the City of South Bend Municipal Code, Section 4-53
Electronic Signature*

First NameLast Name
Date*

MonthDayYear
Should be Empty:

License Application for - Secondhand Stores

Definition:

General Instructions

Application Process

General Questions

Business Data

Personal Data

Signature