Second Hand Dealer License Application Form - Department Of Inspections And Permits - Anne Arundel County Maryland

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License Section – MS 6006

Department of Inspections and Permits

2664 Riva Road, Annapolis MD 21401

Telephone: 410-222-7788

Fax: 410-222-4488

SECOND HAND DEALER LICENSE APPLICATION

SHD_________________

Each person doing business as a second hand dealer is required to have a secondhand dealer license. The annual

fee for the first licensee at a location is $250; additional employees are $50 each. Make your check payable to ‘Anne

Arundel County’. The license expires September 30 of each year. Attach a certificate of general liability of at least

$300,000 and property damage coverage of at least $100,000. Please apply in person or send a JPEG digital

photograph to Please print clearly.

Full Name of Applicant ___________________________________________________________________________

Sex _____

Date of Birth ____________ Place of Birth_________________________________________________

Social Security Number ________________Driver’s License Number_______________________________________

Home Address: _________________________________________________________________________________

(Street)

(City)

(Zip Code)

Home Telephone Number __________________ Daytime Telephone Number ______________________________

E-Mail Address or Cell Phone Number _______________________________________________________________

If you answer yes to any of the following questions you must attach relevant documentation or

explanation.

Are you a US Citizen? YES/NO If no, attach a copy of your employment authorization or permanent resident card.

Are you a licensed: pawnbroker YES/NO; auctioneer YES/NO; or antique dealer YES/NO? If yes, write the license

number(s) here_____________________________

Do you hold a Firearm Dealers License? YES/NO

Do you hold a second hand precious metal license? YES/NO If yes, attach copies.

Have you ever been convicted, held liable or found to have committed acts involving moral turpitude, including any

violation of federal, state or local law or regulation? YES/NO

Have you ever had a judgment entered in an action for fraud, deceit or misrepresentation by any court of competent

jurisdiction? YES/NO

Have you ever had association with individuals known to have engaged in organized crime or racketeering? YES/NO

Have you ever had a financial relationship with any persons known to have engaged in organized crime or

racketeering? YES/NO

Have you ever had direct managerial or supervisory control over an enterprise in which there was a pattern of

cheating, fraud or employee dishonesty? YES/NO

Have you ever engaged in any other conduct that might be a threat to the integrity of the business of second-hand

sales? YES/NO

Are you an owner or officer of this business? YES/NO

Job Title _________________________________________

Name of Business __________________________________________ Bus. Phone #__________________________

Business Address _______________________________________________________________________________

What items do you buy from the public:_______________________________________________________________

Federal Employer ID Number: ____________________________________

I, the undersigned applicant, authorize Anne Arundel County to investigate any and all statements made in this

application. I certify that the information herein is true and accurate to the best of my personal knowledge. I

understand if any misrepresentations have been made herein or the results of the investigation are not satisfactory,

then the license may be withdrawn or denied.

Signature

Date

Revised April 2013

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