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4 <br />For all municipal business license questions, contact: City of South Bend • Department of Community Investment <br />227 West Jefferson Blvd • Suite 1400 S •South Bend, Indiana 46601 • 574.235.5912 • F: 574.235.9021 <br /> <br />LICENSE APPLICATION FOR – CHARITABLE SOLICITATION <br />MUNICIPAL CODE SECTION - 4-55 <br /> <br />V. PERSONAL DATA <br />Indicate the name(s) and address(s) of organization(s) having overall responsibility for the solicitation: <br /> <br />APPLICANT 1 <br />A. Applicant's Legal Name: <br />B. Residential Address: <br />City: State: Zip: <br />C. Residential Telephone Number: <br />D. Residential Fax Number: <br />E. Cellphone Number: <br />F. E-Mail Address: <br />G. Position with business: <br />H. Date of birth: <br />I. Gender: <br />J. Social Security Number: <br />K. Race: <br /> <br />APPLICANT 2 <br />A. Applicant's Legal Name: <br />B. Residential Address: <br />City: State: Zip: <br />C. Residential Telephone Number: <br />D. Residential Fax Number: <br />E. Cellphone Number: <br />F. E-Mail Address: <br />G. Position with business: <br />H. Date of birth: <br />I. Gender: <br />J. Social Security Number: <br />K. Race: <br /> <br />APPLICANT 3 <br />A. Applicant's Legal Name: <br />B. Residential Address: <br />City: State: Zip: