Solicitor's Permit - Village of Bethalto

Solicitor’s PermitRBSupport2021-05-19T14:58:57-05:00

Fields marked with an * are required

Illinois Business Tax Number *

Name *

SSN *

Phone Number *

Email Address *

Address *

City *

US States *

Zip *

Length at above residence *

Address for the last three (3) years if different than above

List the last three (3) municipalities where applicant carried on business

Date of Birth *

Sex *

Age *

Height *

Weight *

Hair/Eye Color *

Business or Organization applicant represents

Address *

City *

US States *

Zip *

Length of tenure with company or organization

Detailed description of business or merchandise *

How long is license required? *

Has application ever been denied or revoked? *

Yes
No

If yes, explain...

Has applicant ever been convicted of a felony? *

Yes
No

If yes, explain...