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Solicitor’s Permit Checklist

 Completed Solicitor's Application  Copy of Driver's License  2 Color Photographs - 2 inch x 2 inch - full face of applicant  $65 Background check fee- nonrefundable (cash or money order)  $50 Solicitor Permit fee- nonrefundable (cash or money order)  $20 Permit fee for each additional agent- nonrefundable (cash or money order)  Documentation: Provide of an organization's exemption from ordinance requirements, if applicable  $35 Charitable Solicitor Permit fee- nonrefundable, (cash or money order)  Religious solicitor permit- no permit fee (background check fee and organization documentation required)  Notice of Solicitor Ordinance - signed by applicant  Consent document authorizing background check- signed by applicant

Solicitor permit processing is available by appointment only between 9 a.m. and 4 p.m. Tuesday through Thursday.

Contact the KPD Records Division (817-743-4510) to schedule an appointment.

Solicitor’s Permit Fast Facts

Applicable to all applicants:

 Provide two 2x2 color photos, fingerprints and a photo ID badge  Permit is valid for 6 months  Hours of solicitation: 9 a.m. to dusk (30 minutes after sunset), Monday- Saturday

Charitable Solicitation

 $35 permit fee for the first person o $20 for each additional person  $65 background check fee per person

Religious Solicitation

 No permit fee  $65 background check fee per person

Itinerant Merchant, Publication Sales and Solicitation

 $50 permit fee for the first person o $20 for each additional person  $65 background check fee per person

** Please note: Each person must complete the application with their personal information.

SOLICITOR PERMIT APPLICATION

*OFFICE USE ONLY*

Staple Picture Here

Permit Number: ______Expiration Date: ______Organization/Company Representing: ______

APPLICANT

Name (First, Middle, Last)

DateName of (First, Birth: Middle, Last) Race: Sex:

Height:Date of Birth: Weight: HairRace: Color: EyeSex: Color:

DriverDriver's’s License/StateLicense/ID Number: ID IssuingHair Color: State: Eye Color: Number SocialDriver SecurityLicense/ID Number: Number: Issuing State:

PermanentSocial Security Address: Number:

City,Permanent State, Address:Zip:

Home Phone: Business Phone:

AddressHome Phone While: Soliciting in Business Phone: Keller: City, State, Zip:

Phone Number While Soliciting in Keller: Supervisor’s Name: Supervisor’s Phone Number:

Have you ever been arrested, charged or convicted of a felony or ? ______

If yes, list the nature of the offense and the punishment or penalty: ______

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Organization/Company Name:

Address:

City, State, Zip:

Phone: Local Phone:

SOLICITATION INFORMATION State the type of goods/service you desire to sell:

Specify location to solicit goods/service:

Approximate dates solicitors will be in the city:

I authorize the Keller Department to make an Investigation of all Information contained in this application for this permit, and do hereby authorize a review, full disclosure and release of all records, including but not limited to photocopies of records concerning myself, the company or organization to any duly authorized agent to the Keller Police Department, whether the said records are of public, private, or confidential nature. I further release from all liability all persons and agencies supplying such information.

Warning: False statement on this application constitutes Perjury and, upon conviction, is punishable by up to one year in jail, and a fine up to $500.00, or both. I hereby swear or affirm that the information given on this application is true and correct. I acknowledge that application fees for denied applications will be forfeited. Applications will be approved or denied no sooner than 5, days or more than 30 days after submission of complete application and documentation.

Applicant's Signature

State of ______County of ______Before me, ______,, personally appeared ______

Known to me, or proved to me on the oath of______to be the person whose name is subscribed to the foregoing instrument and acknowledged to me that he/she executed the same for the purposes and consideration therein expressed.

Given under by hand and seal of this______day of______

______Notary Public

______Notary Stamp Commission Expires

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Amount Collected: $______Receipt Number: ______

Collected by: ______Date: ______

CID Department Review: Approved _ Denied:______

Reason(s): ______

By: Date: ______

Police Chief Review: Approved _ Denied:______

Reason(s):______

By: _ Date: ______

Permit Number _

Date Issued _

Expiration Date _

Issued By _

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CONSENT DOCUMENT CITY OF KELLER, TEXAS

In connection with my application for a Solicitor's Permit with the City of Keller, I understand that an investigative report may be requested or made on myself, and same is hereby authorized, including , driving record and social security number verification. Further, I understand that you may be requesting information from various federal, State, local and other agencies regarding my past activities. By executing this Consent Document, I hereby authorize without reservation, any party or agency contacted by the City of Keller to furnish the information referenced above or requested below.

Applicant's Legal Name (First, Middle, Last):

List any other names used:

Current home address:

City, State, Zip:

Date of Birth: Social Security Number:

Driver's License/State ID Number: Issuing State:

Name as it appears on Driver's License/State 10:

List all residential address in the last 7 years

Address: /From: To:

City, State, Zip:

I Address: To:

City, State, Zip:

I Address To:

City, State, Zip:

I authorize the release of such information as may be necessary to verify the information I have provided. I release and hold harmless from all liability any individual or entity requesting or supplying information with respect to my application for a Solicitor's Permit.

Applicant's Signature Date

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City of Keller, Texas

NOTICE OF SOLICITOR ORDINANCE REGULATIONS (To be signed and attached to Original Application)

PERMIT CARD

It is unlawful for any person to solicit in the City without having first obtained the required City of Keller Permit.

It is unlawful for any person to solicit without having the required permit displayed on his person, or to fail or refuse to show or display such permit card upon the request of any person demanding the same.

All persons shall wear orange traffic safety vest when conducting solicitation within the City.

PERMITTED HOURS OF SOLICITATION

It is unlawful for any person as a Solicitor to go in or upon the premises of a private residence in the City prior to 9 a.m. or after dusk (30 minutes after sunset) of any day, Monday through Saturday, or at any time on Sunday or any other Federally designated holiday, or, on any day where the Department of Homeland Security has declared an Orange or Red State of Alert.

PROHIBITED CONDUCT

1. No solicitation is permitted on, in, upon, or around City Right of Way, with or without a permit.

2. Misrepresent the purpose of the solicitation.

3. Misrepresent the affiliation of those engaged in the solicitation.

4. Continue efforts to solicit from an individual once that individual informs the solicitor that he does not wish to give anything to or buy anything from that solicitor.

5. Represent the issuance of any permit under this chapter as an endorsement or recommendation of the ·solicitation.

6. Solicit at any residence or building which has posted a "No Solicitors" sign.

7. Act in any manner that is contrary to Federal, State or local .

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CHILD SOLICITORS

It is unlawful for any children 16 years of age, or younger, to solicit within the City unless said children are actively supervised by an adult person at least 18 years of age who is permitted or registered, depending on the type of solicitation.

YOUR ORGANIZATION'S PERMITS TO SOLICIT WILL BE REVOKED IMMEDIATELY FOR ANY OF THE FOLLOWING:

Failure to provide a complete and thorough application, or the falsification, of any part of the application.

Solicitor engages in any type of "hard sell" or disruptive tactics.

Solicitor refuses to leave the premises when an individual has informed the solicitor that he/she does not wish to give or purchase anything.

Solicitor goes on where the owner has displayed a sign that says "No Solicitors".

Solicitor misrepresents the purpose of solicitation.

Solicitor misrepresents the affiliation of those engaged in the solicitation.

Solicitor engages in offensive, argumentative, or rude conduct.

Solicitor represents the issuance of any permit as an endorsement or recommendation of the solicitation.

Solicitor violates any Federal, State or local or ordinances.

I hereby understand and agree to abide by the above rules and regulations.

Applicant Date

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