Redmon, ChristianEO&INTERNAL USE ONLY,
Received by, Joseph P. Paoloni
Grace Robinson fed
UV -1 mcko nc) iRn
Date Received: /
Serial #:9.71
.............
2010-01-15 ,ICM
Town of Wappinger
Application for Hawkers
& Peddler's Lisense
The gudersigned does hereby apply to the Town of Wappinger Town Clerk for a
RENEWAL
Emp6kkR�,
(I weekend only)
license for Hawking and Peddling pursuant to Town of Wappinger Local Law No. 10 of 1992,
regulating Hawkers and Peddlers in the Town of Wappinger, and in connection with such
application, does state the following: EME911MIUMVE
1) Applicant:
NAME: r A -o AGE: 4z q
CURRENT ADDRESS:
(St #) (Street) (City) (State (ZIP)
PHONE#
j _-Itj ) 1 -611( -
PERMANENT ADDRESS (if different):
(St #) (Street) (City) (State) (ZIP)
If Applicant is an Agent or Erngloyer: Tape a 2"X 2"
Applicant's Employer ower Home Remodeling Group
color photo (less
Address of Employer 60 Commerce Dr Trumbull CT 06611 than 60 days Old)
(St. #) (State) (ZIP)
Proof of Employment V(attach to application)
2)Nature of business: - rree e-s4n-mm fe I r I,. Sr Roo F
W "
N Motor Vehicle (circle one):truck van
F1 On Foot &/or with vehicle drawn by h a n(c;r0-;1 animal
Vehicle Info: Vehicle Make Vehicle Model -,4�cw_
LicensePlate# KWORT
State of Registration
Operator's License Number 363-Z1.Z-1fe
11 Weights& Measures Certificate Certificate # nza
F1 Dutchess County Health Dept Permit Permit N nha
2010-01-15 JCM
3) Veteran Status
❑ Veteran Applicant - Exempt from license fee (attach certificate from Dutchess County)
Names of all other municipalities in which the applicant has been a vendor in the preceding 6
months:
4) Compliance
That the applicant, if the License requested hereby is granted, consents and agrees to conduct the
aforesaid business or activity pursuant to all of the terms and regulations of the Local Law above
specified, and all other rules, regulations and Laws governing ones activities in the Town of
Wappinger as a Peddler or Hawker.
Dated. 1 ? I � _ , 20a
Wappingers Falls, N.Y.
Sworn to before me this
jL day of : -rj g 20af
Notary Public
/46a'ture of Applicant
LISA EINSIDLER
Notary Pudic - State of New York
NO. (11E16423776
Qualified in Suffolk County
My Commission Expires Oct 18, 2025
Application must be accompanied by a fee of Two Hundred Dollars ($200.00), payable to
the Town of Wappinger. This is a non-refundable fee.
Applicants possessing a valid Dutchess County Veterans Vendors License are exempt from
the $200.00 fee, provided that a copy of said license is attached to the application.
Now York State Department of Taxation and Finance
Certificate of Authority
r
Identification number
}
23-3030708
(Use this number on a# returns and correspondence) f� l
POWER HOME REMODELING GROUP, LLC
2541 SEAPORT DR STE B110
CHESTER PA 19013-2249
3/2612014
Dept of Tax
and Finance
Is authofted to collect sales and use taxes under Articles 28 and 29 of the. New York State Tax Law.
Nontmnsteroble
This certificate must be prominently displayed at your place of business,
Fraudulent or other Improper use of this certificate w411 ceruse It to be revoKed,
The certificate may not be photocopied or reproduced.
Photographs - oopyrlght of NY$ Emplre Siete Davetopmant
4020109100098 IDBS -0800635 P0000235-01 DTF47-A (9110)