Haverstraw, NY · Rockland County

No notary required

Application for Permit and License (Peddler's Application)

Peddlers use this Village of Haverstraw application to request a permit and license and provide personal, business, and vehicle information.

What this form is

This application is for people seeking a Village of Haverstraw permit and license to peddle or solicit. It asks for applicant and business details, vehicle information, planned parking days and spaces, and information about arrests or convictions. The form also requests a recent photograph and a New York State sales tax resale certificate; insurance certificates are required before a permit or lease is issued.

Who needs it

People applying to peddle or solicit in the Village of Haverstraw need to complete this application and provide the requested supporting materials.

How to submit it

Sign and return the application to the Village of Haverstraw at 40 New Main St., Haverstraw, NY 10927. The form requests a photograph and a New York State sales tax resale certificate.

About notarization

This document is signed without a notary; the applicant signs the consent and the agreement, and dates the agreement, with no sworn or notarized attachment mentioned.

How to submit this form

  1. 1

    Download The Application

    Download the Village of Haverstraw peddler's permit and license application.

  2. 2

    Complete The Application

    Provide the requested personal, business, vehicle, parking, and background information.

  3. 3

    Gather The Requested Materials

    Attach a photograph taken within 60 days before filing and submit a New York State sales tax resale certificate.

  4. 4

    Sign And Return It

    Sign and return the application to the Village of Haverstraw at 40 New Main St., Haverstraw, NY 10927.

Frequently asked questions

Do I need a notary for the peddler's application?
No. The application is signed without a notary; the applicant signs the consent and agreement and dates the agreement. No sworn or notarized attachment is mentioned.
How do I submit the peddler's application?
Sign and return it to the Village of Haverstraw at 40 New Main St., Haverstraw, NY 10927. The form also requests a recent photograph and a New York State sales tax resale certificate.
What information does the application request?
It asks for applicant and business details, vehicle information, planned parking days and spaces, and information about arrests or convictions.
What insurance does the form require?
The document lists insurance requirements and says certificates of insurance must be provided before a permit or lease is issued.

Need something notarized?

This Application for Permit and License (Peddler's Application) doesn’t need a notary — but if you have another Haverstraw form that does, a commissioned online notary can help.