HARRISBURG, PA 17120
Tel: 717-787-6848
Fax: 717-787-6925
www.dli.state.pa.us
__________________________
The manufacturer may register directly with the Department at the foreign manufacturers
location. This is identical to the requirement for domestic manufacturers, or
2.
An importer may hold a stuffed toy registration on behalf of each foreign manufacturer
represented. Please note that the importer is required to hold a separate registration for each
foreign manufacturer represented. The Department does not permit pooling of registrations.
When an importer holds the registration on behalf of the foreign manufacturer, the registration certificate
will show the name of both the importer and foreign manufacturer.
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LIBU-35 I REV 05 / 01 COMMONWEALTH OF PENNSYLVANIA DEPT. OF LABOR INDUSTRY PAGE 1 OF 4
A craftsperson whose gross income from the sale of stuffed toys is less than $1,000.00 per
year is exempt from payment.
SUBMIT A SEPARATE CHECK WITH EACH APPLICATION
PLEASE TAKE NOTE! SAMPLE TOYS WHICH HAVE BEEN SELECTED AT RANDOM
FROM THOSE BEING OFFERED FOR SALE MUST ACCOMPANY THE NOTARIZED
AFFIDAVIT AND APPLICATION FOR REGISTRATION
AFFIDAVIT
This page completed by Notary.
FOREIGN COUNTRIES WITHOUT NOTARIES, PLEASE COMPLETE AND SIGN FORM
In the matter of the Application of (Company Name)
_______________________________________________________________________
for Registration as a:
(Circle one)
Manufacturer
STATE OF
COUNTY OF
Importer
Craftsperson
(COMPANY NAME)
(For individual) He/She is doing business under the firm name and style of
______________________________________;
(COMPANY NAME)
__________________________________________________________________________
LIBU-35 I REV 05 / 01 COMMONWEALTH OF PENNSYLVANIA
AFFIDAVIT
This page completed by Notary.
__________________________________________________
(SIGNATURE AND TITLE OF PERSON SIGNING)
SEAL
day of ___________________________________________
______________________________________________________
PAGE 4 OF 4