In accordance with the terms and provisions of Chapter 9, Article 15, Section 90-104 no person shall hire, keep or use for hire or pay any limousine service which has the City of Plainfield as its principal place of business, as expressed in N.J.S. 48:16-18, without having first obtained a license for the purpose from the license Bureau for such limousine. Such license shall be for a term of one (1) year from the date of issuance, shall be renewable annually, and shall be non-transferable. Each limousine must be licensed separately.

APPLICANT DETAILS

Name of Owner(s) : *
If a Corporation, give date of incorporation, where incorporated and attached copy of incorporation papers.
Applicant Email:
Phone Number:	Phone or Email Required
Residence Address: *
Business Address:
Vehicle Information:	Make: Model: Year: Serial Number:
License Plate Number:*
N.J Driver's License Number:*	Exp. Date: *
Name of Company supplying insurance coverage: *
Policy limits per vehicle:	Policy Number:
Insurance Agent Name:
Liability:
Address:
Property Damage Coverage?
Amount:
In accordance with Chapter 9, Article 15, Section 97, all limousine owners are required to obtain a CERTIFICATE; OF COMPLIANCE for filing and posting in perspective vehicles upon filing insurance information. This certificate will be used to obtain license plates from the Division of Motor Vehicles.
Do you operate a Limousine in any other Municipality?	Yes No
Is your limousine used at anytime to transport persons for hire or pay from point to point within the City of Plainfield?	Yes No
Please enter the verification code in the box: *
I hereby declare that the information given in this application is true and correct to the best of my knowledge.