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Salespersons And Salvage Buyer ID Card Termination Notice BMV 4336 - Ohio

Salespersons And Salvage Buyer ID Card Termination Notice Form. This is a Ohio form and can be used in Dealer Licensing Bureau Of Motor Vehicles Statewide .
 Fillable pdf Last Modified 10/24/2008
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OHIO BUREAU OF MOTOR VEHICLES SALESPERSON'S AND SALVAGE BUYER ID CARD TERMINATION NOTICE DEALERSHIP NAME ADDRESS CITY STATE ZIP CODE COUNTY DEALER PERMIT NO. Using a black pen, shade in a box in each column, under Dealership County, to indicate the county number in which your dealership is located. See Chart below for the appropriate county number. 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 ADAMS ALLEN ASHLAND ASHTABULA ATHENS AUGLAIZE BELMONT BROWN BUTLER CARROLL CHAMPAIGN CLARK CLERMONT CLINTON COLUMBIANA 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 COSHOCTON CRAWFORD CUYAHOGA DARKE DEFIANCE DELAWARE ERIE FAIRFIELD FAYETTE FRANKLIN FULTON GALLIA GEAUGA GREENE GUERNSEY 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 HAMILTON HANCOCK HARDIN HARRISON HENRY HIGHLAND HOCKING HOLMES HURON JACKSON JEFFERSON KNOX LAKE LAWRENCE LICKING 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 LOGAN LORAIN LUCAS MADISON MAHOINING MARION MEDINA MEIGS MERCER MIAMI MONROE MONTGOMERY MORGAN MORROW MUSKINGUM 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 NOBLE OTTAWA PAULDING PERRY PICKAWAY PIKE PORTAGE PREBLE PUTNAM RICHLAND ROSS SANDUSKY SCIOTO SENECA SHELBY 76 77 78 79 80 81 82 83 84 85 86 87 88 STARK SUMMIT TRUMBULL TUSCARAWAS UNION VAN WERT VINTON WARREN WASHINGTON WAYNE WILLIAMS WOOD WYANDOT Butler Co. = 09 0 1 2 3 4 5 6 7 8 9 0 DEALERSHIP COUNTY 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 S A M P L E 1 2 3 4 5 6 7 8 9 The following individuals are no longer employed as salespersons or salvage buyers for the above business: SALESPERSON'S/ SALVAGE BUYER'S NAME SOCIAL SECURITY NO. DATE OF TERMINATION LICENSE/CARD NUMBER BUYER ID CARDS MUST BE RETURNED WITH THIS FORM. X Signature of Owner, Partner, Officer, Member, or Trustee Date Type or Print Name of Person Signing ALL SECTIONS MUST BE COMPLETED AND RETURNED TO: OHIO BUREAU OF MOTOR VEHICLES Attn: DEALER LICENSING SECTION P.O. Box 16521 Columbus, Ohio 43216-6521 www.OhioAutoDealers.com 8/02 BMV 4336 American LegalNet, Inc. www.FormsWorkflow.com
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