What does this authorization allow?

It authorizes the release of information about the applicant to a representative of the Village of Goshen Police Department for a background investigation.

Do I need a notary for this authorization?

No. This document does not require a notary; the applicant signs and dates it, and a witness also signs.

How do I submit this authorization?

Submit it to the Village of Goshen Police Department at 1 Grand St., Goshen, NY 10924.

Goshen, NY · Orange County

No notary required

Peddler Permit Application Part 2

This authorization lets applicants for a Goshen peddler permit, games of chance license, or bingo license permit release of background information.

What this form is

Applicants for a Village of Goshen peddler permit, games of chance license, or bingo license use this form to authorize the release of background information to a Village Police Department representative. It requests personal, birth, driver’s license, vehicle, and contact details, along with the applicant’s signature, a witness signature, and the date.

Who needs it

Applicants for a Goshen peddler permit, games of chance license, or bingo license who are asked to authorize a background investigation need this form.

How to submit it

Submit it to the Village of Goshen Police Department, 1 Grand St., Goshen, NY 10924.

About notarization

This document is signed without a notary; the applicant signs and dates it, and a witness also signs.

How to submit this form

1
Download The Form
Download the Peddler Permit Application Part 2 PDF.
2
Complete The Applicant Details
Enter your name, birth details, identification and vehicle information, and current contact details.
3
Sign And Date
Sign and date the authorization, and have a witness sign it.
4
Submit To The Police Department
Submit the completed form to the Village of Goshen Police Department at 1 Grand St., Goshen, NY 10924.

Frequently asked questions

What does this authorization allow?: It authorizes the release of information about the applicant to a representative of the Village of Goshen Police Department for a background investigation.
Who uses the Peddler Permit Application Part 2?: Applicants for a Village of Goshen peddler permit, games of chance license, or bingo license use this form to authorize the release of background information.
Do I need a notary for this authorization?: No. This document does not require a notary; the applicant signs and dates it, and a witness also signs.
How do I submit this authorization?: Submit it to the Village of Goshen Police Department at 1 Grand St., Goshen, NY 10924.

Need something notarized?

This Peddler Permit Application Part 2 doesn’t need a notary — but if you have another Goshen form that does, a commissioned online notary can help.