Ohio > Statewide > Bureau Of Motor Vehicles > Dealer Licensing
Application To Deal In Motor Vehicles BMV 4320 - Ohio
| Application To Deal In Motor Vehicles Form. This is a Ohio form and can be used in Dealer Licensing Bureau Of Motor Vehicles Statewide . |
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OHIO DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES APPLICATION TO DEAL IN MOTOR VEHICLES Indicate Type of License: New Motor Vehicle Leasing Motor Vehicle Used Motor Vehicle PLEASE PRINT LEGIBLY IN BLACK INK OR TYPE THE FOLLOWING INFORMATION: BUSINESS NAME DBA OR FICTITIOUS TRADE NAME (if applicable) BUSINESS STREET ADDRESS CITY STATE ZIP CODE COUNTY BUSINESS TELEPHONE # ALTERNATIVE TELEPHONE # FAX # EMAIL ADDRESS 1. If other than new or used cars or trucks, please indicate the type of vehicles that will be the dealership's primary business: (Check only one) Motorcycles Off-Highway Motorcycles All Purpose Vehicles Trailers Recreational Vehicles Remanufactured Vehicles 2. If applying for a license where your primary business will be selling Motorcycles, APV's and/or Off-Highway Motorcycles, what size dealer license plate would you prefer? (Check only one) Regular Size License Plate Motorcycle Size License Plate 3. Applicants for new motor vehicle dealers license only: INDICATE EACH NEW MAKE TO BE SOLD (Statements of Contract, BMV 4319, must be submitted for the makes listed below.) 4. Indicate style of business: Proprietorship Partnership 5A. Vendor's Number Corporation Business Trust Limited Liability 5B. Federal Tax I.D. or EIN Number 6. Make check payable to "Ohio Treasurer Josh Mandel". Fees are as follows: (DO NOT SEND CASH) Permit (Required) Master Plate (Dealer Required, Leasing optional, Brokers not eligible) Title Defect Recision Fund (Required) Postage (Required if plates are requested) See note below Additional Plates (optional) NOTE: DO NOT pay more than the one time postage fee of $4.50 FEES ARE NON-REFUNDABLE We are required to collect a $150.00 initial application fee on behalf of the Title Defect Rescission Fund; this fee will be refundable if you do not meet the requirements to become a licensed motor vehicle dealer. For information or questions on the Title Defect Rescission Fund contact the Ohio Attorney General's Office at www.OhioAttorneyGeneral.gov or 800-262-0515. BMV 4320 9/12 [17601163] Page 1 of 5 1 1 1 1 @ $ 50.00 @ $ 50.25 @ $150.00 @$ 4.50 = = + + = + + = $50.00 $ $150.00 $ $ @ $ 10.25 each = TOTAL FEES DUE $204.50 American LegalNet, Inc. www.FormsWorkFlow.com CRITICAL HIGH $0.00 7. Check the appropriate box and complete the name, residence address and Social Security Number in 7B: If making application as an LLC, Trust or Partnership, list each member, trustee, director or partner in 7B. Exception: If a member, trustee or partner is a corporation, please list the corporation's name, federal tax ID number and address in 7A and then list officers of the corporation in 7B. PART 7A Member- Use only if member is a corporation CORPORATE BUSINESS NAME Trustee- Use only if a trustee is a corporation Partner-Use only if a partner is a corporation FEDERAL TAX ID # (EIN) ADDRESS CITY STATE ZIP CODE PART 7B Sole Proprietor Partner President Trustee Director Member, (owning 10% or more) Partner Vice President Trustee Director Member, (owning 10% or more) Partner Secretary Trustee Director Member, (owning 10% or more) Partner Treasurer Trustee Director Member, (owning 10% or more) CITY STATE ZIP CODE LAST NAME HOME ADDRESS FIRST NAME SSN MI CITY STATE ZIP CODE LAST NAME HOME ADDRESS FIRST NAME SSN MI LAST NAME HOME ADDRESS CITY STATE FIRST NAME SSN ZIP CODE MI LAST NAME HOME ADDRESS CITY FIRST NAME SSN STATE ZIP CODE MI Ohio residents who are owners, all partners, president, all members, owning 10% or more, and all trustees MUST be electronically fingerprinted and must request the results to be sent electronically to direct copy "BMV Dealer Licensing" at the web check locations in order for them to be forwarded to the BMV dealer licensing section. For a complete list of electronic fingerprinting locations in Ohio visit www.OhioAttorneyGeneral.gov, for background check locations in Ohio. NOTE: Only Out-of-State applicants may submit a fingerprint card, exemption form and processing fee in lieu of having their prints electronically scanned. Please contact the Dealer Licensing Section at (614) 752-7636 to obtain a fingerprint card and an exemption form. BMV 4320 9/12 [17601163] Page 2 of 5 CRITICAL HIGH American LegalNet, Inc. www.FormsWorkFlow.com ANSWER EACH OF THE FOLLOWING QUESTIONS TRUTHFULLY TO THE BEST OF YOUR KNOWLEDGE 8. Yes No I, as the applicant, affirm that the business listed on this application has a net worth of at least $75,000, and will maintain during the entire period for which the license is held? (Net Worth = Assets minus Liabilities) 9. Has the applicant, or any of the applicant's owners, partners, officers, members, directors or trustees: A. Yes No Previously applied for a motor vehicle dealer's license, leasing license, distributor's license, auction owner's license, motor vehicle salvage dealership, motor vehicle auction, motor vehicle salvage pool or salesperson's license? (If yes, please list below) DATE TYPE OF LICENSE PERMIT NUMBER IF ISSUED BUSINESS NAME APPLIED IN BUSINESS NAME APPLIED IN DATE TYPE OF LICENSE PERMIT NUMBER IF ISSUED B. Yes No Ever been refused such a license, had it suspended or revoked? 10. Yes No Are you an owner, partner, corporate officer, member, trustee or director in any other new or used dealership, motor vehicle leasing dealership, motor vehicle distributor, motor vehicle auction, motor vehicle salvage dealership, motor vehicle salvage auction, or motor vehicle salvage pool company? 11. Has the applicant or any of the applicant's partners, officers, members, trustees or directors: A. B. Yes Yes No No Ever been convicted of a felony? Ever been convicted of an offense that was related to the selling of, or dealing in, motor vehicles? If answered "yes" to either question A or B above, please provide the following information: (1) The court's journal entry showing the final disposition of your conviction, (2) The charge you were convicted of. (3) Please attach a short summary of the charge you were convicted of. C. Yes No Ever had a civil judgment rendered against you/him/her that related to tampering with an odometer, rolling back an odometer, or failing to provide true and accurate odometer disclosure statements? Ever had a civil judgment rendered against you/him/her that resulted from the transaction of business as a motor vehicle dealer, which remains unsatisfied today? D. Yes No If answered "yes" to either question C or D above, please provide the following information: (1) The court's journal en
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