Application for Vendor License

REMINDER: Make checks payable to Meade County. Our mailing address is:

Meade County Equalization

1300 Sherman St., Ste 222

Sturgis, SD 57785

Business Name

Applicant Name

First Name

Last Name

Permanent Address of Applicant

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Business Phone Number

(###)

###

####

Cell Phone Number

(###)

###

####

Email Address

Starting Date of License

License is valid for 12 consecutive days.

YYYY

Ending Date of License

YYYY

Location in Meade County (outside city limits) where business is being conducted:

Brief description of goods/services being sold

Note on Raffles

If you are holding a raffle, you must notify the Secretary of State or Meade County Commission at least 30 days prior, complying with state statute 22-25-25.

Is this application for a prepared food business?

Yes

South Dakota Sales Tax ID Number

DISCLAIMER: No organization shall initially be exempt from full payment of vendor licensing, regardless of tax exempt status. Organizations recognized under Internal Revenue Code 501(c)(3) as a bona fide religious or charitable organization may submit a written request for full or partial refund by a pre-approved format to the Director of Equalization Office no earlier than 30 calendar days preceding the event or no later than 10 days after. All requests shall be considered by the Meade County Governing Board within 60 days of acceptance of the request.

Fees

Vendor Booth/Artist/Roving Distributor

1 booth = $750, subsequent booths $700. If the application and payment are received prior to July 1, each booth/ATM/transportation service vehicle is eligible for a $50 reduction. Number of booths:

Transportation Services

$200 for first unit, $150 for each additional unit, up to $950 maximum. # of vehicles:

ATM Machines

$250/ATM Machine. # of machines:

State Inspection Fees

Add $150 for each case that applies:

Tattoo Artist ($150)

Performing Piercings ($150)

Total Payment Due

**If the application and payment are received prior to July 1, each booth/ATM/transportation service vehicle is eligible for a $50 reduction.

NOTE: It is the responsibility of the applicant to remit payment in a timely manner. Meade County will not be sending an invoice for payment.

Affirmation and electronic signature

The undersigned applicant hereby swears and affirms that the above and foregoing statements are true and correct. I understand and agree that I am responsible for payment of the applicable state sales tax on goods/services I sell. I further understand and agree that display or sale of obscene materials will be grounds for immediate suspension of my license and that any violation of state or local laws regarding obscene materials will be prosecuted.

Electronic Signature

(Please type in your full name)

First Name

Last Name

Date of Signature

YYYY

Would you like your license to be mailed or held at the Equalization Office for pick-up?

Mailed

Held at Equalization Office to be picked up prior to start date listed above