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Jefferson Township
Jefferson Township, N.J. • 1033 Weldon Rd, Lake Hopatcong NJ.
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TOWNSHIP OF JEFFERSON

OFFICE OF THE TOWNSHIP CLERK

APPLICATION FOR TAXICAB/LIMO LICENSE

 

            ALL TAXICAB LICENSES SHALL BEGIN ON THE FIRST DAY OF _____OF EACH YEAR AND TERMINATE ON THE_____NEXT SUCCEEDING.

 

A TAXICAB OWNER’S LICENSE DOES NOT ENTITLE OWNER TO DRIVE TAXICAB WITHOUT ALSO OBTAINING A TAXICAB DRIVER’S LICENSE.

 

DATE:

NAME:

ADDRESS:

TELEPHONE:

 

 __________, THE UNDERSIGNEDAPPLIES TO THE TOWNSHIP CLERK FOR A LICENSE TO OPERATE A PUBLIC TAXICAB AS DESCRIBED BELOW WITHIN THE TOWNSHIP OF JEFFERSON.

 

            IF INDIVIDUAL, THE FOLLOWING QUESTIONS MUST BE ANSWERED:

 

ARE YOU A CITIZEN OF THE UNITED STATES___________________            

WHAT IS YOUR AGE? _________________________________

IF CO-PARTNERSHIP, THE FOLLOWING QUESTIONS MUST BE ANSWERED:

 

            IF CO-PARTNERSHIP, THE FOLLOWING QUESTION MUST BE ANSWERED;

 

GIVE FIRM NAME: __________________________________________

 

OFFICE LOCATION: _________________________________________

 

IN WHAT STATE INCORPORATED? ___________________________

 

THE FOLLOWING QUESTIONS MUST BE ANSWERED BY ALL APPLICANTS WHETHER APPLICANT IS AN INDIVIDUAL, CO-PARTNERSHIP OR CORPORATION

 

  1. HOW MANY VEHICLES DO YOU DESIRE LICENSED AT THIS TIME? __________________________________________________
  2. GIVE ADDRESS WHERE ALL VEHICLES ARE TO BE KEPT? __________________________________________________
  3. HAVE YOU COMPLIED WITH THE PROVISIONS OF SECTION 7 OF AN “ORDINANCE TO REGULATE AND LICENSE TAXICABS AND THE OWNERS AND OPERATORS THEREOF,” IN REGARD TO INSURANCE FOR THIS VEHICLE? ___________________________________________

 

NAME OF INSURANCE COMPANY AND AGENT?

4.  WHAT IS THE TYPE OF VEHICLE TO BE LICENSED? (STATE WHETHER   

             CAB OR LIMOUSINE)__________________________________________

      5.     COLOR OF CAB______________DISTINGUISHING MARKS, IF ANY ___

         ________________

6.            NAME OF MANUFACTURER____________________________

7.            SERIAL NUMBER_______________________________ENGINE NO.____

8.            HOW MANY PASSENGERS IS SAID VEHICLE INTENDED TO SEAT INSIDE? _____________________________

9.            IN WHAT YEAR WAS YOUR VEHICLE MADE? __________________

10.        PRESENT MARKET VALUE OF SAID VEHICLE___________________

11.        ARE YOU THE OWNER OR LESSEE OF SAID VEHICLE? _____________

12.        ARE YOU A MEMBER OF ANY CAB COMPANY? ______IF SO, WHAT NAME? __________________

13.        ARE YOU A MEMBER OF ANY COOPERATIVE OR OPERATING ASSOCIATION? _________ IF SO, WHAT IS THE NAME OF SAME? _______________________

14.        PLACE WHERE SAID VEHICLE CAN BE INSPECTED_________________

15.        SET FORTH THE COMPLETE SCHEDULE OF RATES TO BE CHARGED ALL PASSENGERS ___________________________________________      

16.        DOES THE SAID VEHICLE HAVE A METER? ______________

 

STATE OF NEW JERSEY

TOWNSHIP OF JEFFERSON

COUNTY OF MORRIS

 

_______________BEING DULY SWORN, DEPOSES AND SAYS THAT _________IS THE INDIVIDUAL MAKING THE FOREGOING APPLICATION FOR A TAXICAB LICENSE; THEREIN ARE TRUE OF HIS OWN KNOWLEDGE AND BELIEF, AND THAT HE WILL REPORT IN WRITING TO THE OFFICE OF THE TOWNSHIP CLERK ANY CHANGE OF ADDRESS THAT MAY OCCUR WHILE THIS LICENSE REMAINS IN FORCE AND THAT HE WILL NOT PERMIT THE OPERATION OF SAID TAX I CAB OR TAXICABS, EXCEPT BY A DULY LICENSED TAXICAB DRIVER, AND HE SIGNED THE FOREGOING APPLICATION FOR AND ON BEHALF OF THE SAID________

 

                                          SIGNATURE____________________

                                          ADDRESS______________________

                                          FOR___________________________

                                          ADDRESS______________________

 

SWORN TO ME THIS_______DAY OF ____________________20___.

 

 

                                          OFFICE OF THE TOWNSHIP CLERK

                                                      TOWNSHIP OF JEFFERSON

 

DATE: ___________________

NAME OF APPLICANT:  ____________________________

ADDRESS: ________________________________________

LICENSE NUMBER ISSUED: _________________________FEE PAID____________

 

 

 

_____________________________

                                                Township Clerk

 

 


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