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New Renewal <br />APPLICATION FOR TAXI COMPANY LICENSE <br />CITY OF SOUTH BEND, INDIANA <br />215 S. Martin Lurther King Jr. Blvd., Suite 500 <br />South Bend, IN 46601 <br />574-235-5912 <br />Date --------- <br />1 . Personal Data <br />a.Applicants Legal Name _______________________ _b.Street Address---------------------------c.Mailing Address _________________________ _d.Position------------------------------e.Driver's License Number (Please attach a copy) ----------- <br />f.Email Address--------------------- <br />2.Business Data <br />a.Business Name--------------------------- <br />b.Business Address-------------------------- <br />c.Business Telephone Number (24 hour line) ________ Fax# _______ _ <br />d.What is the net worth of the business? (assets minus debts) __________ _ <br />e.List all unpaid judgments of the applicant and the circumstances giving rise to such <br />judgment, along with the Court and Cause Number of each case where judgment was <br />entered.----------------------------- <br />(Attach additional sheets if necessary) <br />f.Have you ever operated a taxi business prior to this operation?Yes___ No __ _ <br />If yes, was your permit to operate ever revoked or suspended? Give details. ____ _ <br />g.State your past experiences in the business of public passenger transportation. ___ _ <br />(Attach additional sheets if necessary) <br />h.What facts do you believe support the need for additional taxi cab service in the City of <br />South Bend?---------------------------- <br />1