Ohio > Statewide > Bureau Of Motor Vehicles > Dealer Licensing
Application For Address Name DBA Or Dealer License Type Change BMV 4443 - Ohio
| Application For Address Name DBA Or Dealer License Type Change 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 FOR ADDRESS, NAME/DBA, OR DEALER LICENSE TYPE CHANGE Change of Address Applicants, complete Sections I & II, VII &VIII Change of Business Name Applicants , complete Sections I, III, VII & VIII Add or Remove a DBA Name, complete Sections I, IV, VII & VIII Add or Remove a P.O. Box, complete Sections I, V, VII & VIII Change Dealer License Type, complete Sections I, VI, VII & VIII COMPLETE ALL SECTIONS THAT APPLY SECTION I BUSINESS NAME DBA OR FICTITIOUS NAME BUSINESS STREET ADDRESS CITY CURRENT INFORMATION PERMIT # PLATE # BUSINESS TELEPHONE # PO BOX STATE ZIP CODE COUNTY SECTION II PROPOSED NEW BUSINESS STREET ADDRESS CITY CHANGE OF ADDRESS BUSINESS PHONE, IF DIFFERENT THAN ABOVE STATE ZIP CODE COUNTY 1) FRANCHISE MOTOR VEHICLE DEALERS: Indicate below each NEW make to be sold and submit Statements of Contract, BMV 4319, for each new make of vehicle to be offered for sale, showing the new business address. ____________________________________________________________________________________________________________________ 2) Contact your County Auditor to determine if a new vendor's number is required. If yes, enter new vendor number. _____________________ 3) Are you or do you intend on sharing the proposed business location with another licensed motor vehicle dealer? YES NO If yes, indicate the business name and, if available, the permit number of the other dealer and submit a Certificate of Compliance form, BMV 4347. BUSINESS NAME PERMIT NUMBER 4) Was the proposed business location previously occupied by another motor vehicle dealer? If yes, indicate the business name, if available. BUSINESS NAME YES NO 5) Submit photographs of the proposed business location's lot, office (inside and outside), and business sign(s). The sign must be in the exact name of the business, as indicated on the application, including any registered trade names, permanent, prominently displayed and properly maintained. Letters on the sign must be at least six inches (6") high. Photographs, in jpg format only, may be e-mailed to DEALERPHOTOS@DPS.STATE.OH.US. Please include your business name and permit number in the subject of your email. www.OhioAutoDealers.com BMV 4443 9/12 [17601163] Page 1 of 3 CRITICAL HIGH American LegalNet, Inc. www.FormsWorkFlow.com SECTION III 1) NEW BUSINESS NAME CHANGE OF BUSINESS NAME 2) FRANCHISE MOTOR VEHICLE DEALERS: Indicate below each NEW make to be sold and submit Statements of Contract, BMV4319 for each new make of vehicle to be offered for sale, showing the new business name. ____________________________________________________________________________________________________________________ 3) Submit photographs of the new business sign. The sign must be in the exact name of the business, as indicated on the application, permanent, prominently displayed and properly maintained. Letters on the sign must be at least six inches (6") high. Photographs, in jpg format only, may be emailed to DEALERPHOTOS@DPS.STATE.OH.US. Please include your business name and permit number in the subject of your email. SECTION IV 1) DBA OR FICTITIOUS NAME 2) DBA OR FICTITIOUS NAME ADD OR REMOVE A DBA NAME ADD ADD REMOVE REMOVE REMOVE 3) DBA OR FICTITIOUS NAME ADD 4) Submit photographs of the new business sign(s). The sign must be in the exact name of the business, as indicated on the application, including any registered trade names, permanent, prominently displayed and properly maintained. Letters on the sign must be at least six inches (6") high. Photographs, in jpg format only, may be emailed to DEALERPHOTOS@DPS.STATE.OH.US. Please include your business name and permit number in the subject of your email. SECTION V 1) P.O. BOX 2) P.O. BOX ADD OR REMOVE P.O. BOX ADD ADD REMOVE REMOVE NOTE: P.O. BOX MUST BE IN THE SAME ZIP CODE AS THE BUSINESS PHYSICAL ADDRESS. SECTION VI 1) CHECK ONE: CHANGE DEALER LICENSE TYPE USED MOTOR VEHICLE DEALER TO NEW MOTOR VEHICLE DEALER NEW MOTOR VEHICLE DEALER TO USED MOTOR VEHICLE DEALER 2) FRANCHISE MOTOR VEHICLE DEALERS: Indicate below each NEW make to be sold and submit Statements of Contract, BMV4319, for each new make of vehicle to be offered for sale. 3) If your primary business will be selling Motorcycles, APV's and/or Off-Highway Motorcycles, what size of Dealer License Plates would you prefer? (Select only one size) REGULAR SIZE LICENSE PLATES NOTE: * Only one size of dealer plate may be requested / issued. MOTORCYCLE SIZE LICENSE PLATES BMV 4443 9/12 [17601163] Page 1 of 3 CRITICAL HIGH American LegalNet, Inc. www.FormsWorkFlow.com SECTION VII FEES PAYABLE TO "OHIO TREASURER JOSH MANDEL" MOTOR VEHICLE DEALER PERMIT (REQUIRED) SALVAGE DEALER, POOL OR AUCTION ONLY PERMIT (REQUIRED) AMENDED REGISTRATION CARDS (REQUIRED, IF ISSUED LICENSE PLATES) MASTER PLATE + ADDITIONAL PLATES Registration Fees do not apply to DBA Name or P.O. Box change. NOTE: Only ONE fee is required for multiple changes. I.E. If you request a name change and address change on the same application you only need to pay ONE permit fee and ONE set of amended registration card fees, not two sets of fees. @ @ @ DO NOT SEND CASH $2.00 $2.00 $1.00 each = = = = $ $ $ $ TOTAL FEES DUE FEES ARE NON-REFUNDABLE SECTION VIII READ, SIGN AND DATE FINANCIAL RESPONSIBILITY YOU WILL LOSE YOUR DRIVER LICENSE IF YOU DRIVE WITHOUT INSURANCE OR OTHER ACCEPTABLE PROOF OF FINANCIAL RESPONSIBILITY COVERAGE In Ohio, it is illegal to drive any motor vehicle without insurance or other financial responsibility (FR) coverage. It is also illegal for any motor vehicle owner to allow anyone else to drive the owner's vehicle without FR coverage. PROOF OF COVERAGE IS REQUIRED: Whenever a police officer issues a traffic ticket At all vehicle inspection stops Upon traffic court appearances and Upon random checks by the Registrar of Motor Vehicles. ANY DRIVER OR OWNER WHO FAILS TO SHOW PROOF OF INSURANCE OR OTHER COVERAGE WILL: Lose his or her driver license until requirements are met on first offense, ONE YEAR on second offense and TWO YEARS on additional offenses Lose his or her license plates and vehicle registration Pay reinstatement fees of $100.00 for first offense, $300.00 for second offense, $600.00 for third and subsequent offenses Pay a $50.00 penalty for any failure to surrender his or her driver license, license plates, or registration AND Be required to maintain special FR coverage ("High-risk" insurance or equivalent) on file with the Bure
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