Ohio > Statewide > Bureau Of Motor Vehicles > Dealer Licensing
Application For Auction Owners Or Distributors License BMV 4325 - Ohio
| Application For Auction Owners Or Distributors License 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 AUCTION OWNER'S OR DISTRIBUTOR'S LICENSE Indicate Type of License: Auction Owner's License Distributor's License 1. 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 # E-MAIL ADDRESS 2. APPLICANTS FOR DISTRIBUTOR LICENSE ONLY Indicate each new make to be distributed (A Manufacturer/Distributor Statement Franchise, BMV 4319, must be submitted for each make of new motor vehicle to be distributed.) 3. INDICATE STYLE OF BUSINESS: PROPRIETORSHIP PARTNERSHIP CORPORATION BUSINESS TRUST LIMITED LIABILITY 4. INDICATE FEDERAL TAX ID OR EMPLOYER ID NUMBER: 5. Make check payable to: Ohio Treasurer Josh Mandel (DO NOT SEND CASH) AUCTION OWNER'S AND DISTRIBUTOR APPLICANTS PERMIT (REQUIRED) AUCTION OWNER APPLICANT'S ONLY OPTIONAL PLATES MASTER IN-TRANSIT LICENSE PLATE ADDITIONAL PLATES (OPTIONAL) POSTAGE (REQUIRED IF PLATES ARE REQUESTED) See note below 1 1 $ 100.25 $ 6.25 each $ 4.50 SUBTOTAL DISTRIBUTOR APPLICANT'S ONLY PLATES (OHIO APPLICANTS ONLY) MASTER DISTRIBUTOR LICENSE PLATE (REQUIRED) ADDITIONAL PLATES (OPTIONAL) POSTAGE (REQUIRED IF PLATES ARE REQUESTED) See note below 1 1 $ $ $ 50.25 10.25 each 4.50 SUBTOTAL TOTAL FEES DUE NOTE: DO NOT pay more than the one time postage fee of $4.50. = $ $ $ $ $ 50.25 4.50 = $ 100.25 $ $ $ 4.50 1 $100.00 $ 100.00 FEES ARE NON-REFUNDABLE BMV 4325 9/12 [17601163] Page 1 of 4 CRITICAL HIGH American LegalNet, Inc. www.FormsWorkFlow.com 6. Check the appropriate box and complete the name, residence address and Social Security Number in Part B: If making application as an LLC, Trust or Partnership, list each member, trustee, director or partner in Part B. Exception: If a member, trustee or partner is a corporation, please list the corporation's name, federal tax ID or EIN number and address in Part A and then list officers of the corporation in Part B. PART A 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 OR EIN ADDRESS CITY STATE ZIP CODE PART B 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 HOME ADDRESS CITY STATE SSN ZIP CODE LAST NAME FIRST NAME MI HOME ADDRESS CITY STATE SSN ZIP CODE LAST NAME HOME ADDRESS CITY STATE FIRST NAME SSN ZIP CODE MI LAST NAME FIRST NAME 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 4325 9/12 [17601163] Page 2 of 4 CRITICAL HIGH American LegalNet, Inc. www.FormsWorkFlow.com ANSWER EACH OF THE FOLLOWING QUESTIONS TRUTHFULLY TO THE BEST OF YOUR KNOWLEDGE 7. 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 PERMIT NUMBER IF ISSUED BUSINESS NAME APPLIED IN BUSINESS NAME APPLIED IN DATE TYPE OF LICENSE B. 8. Yes Yes No No Ever been refused such a license, had it suspended or revoked? 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? PERMIT # NAME NAME PERMIT # 9. Has the applicant or any of the applicant's partners, officers, members, trustees or director: 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 entry showing the final disposition of the judgment, (2) The court of jurisdiction that decided the civil judgment, (3) That court's case number, (4) The date the civil judgment was issued. Reasons the Bureau of Motor Vehicles may DENY this application. 1. A felony conviction that has occurred within ten years from the date the application is submitted, and is not related to the selling, taxing, licensing, or regulation of sales of motor vehicles. 2. Any misdemeanor or felony conviction (regardless of the conviction date) related to dealing in motor vehicles. BMV 4325 9/12 [17601163] Page 3 of 4 CRITICAL HIGH American LegalNet, Inc. www.FormsWorkFlow.com Any arrest that shows up on the criminal background check that cannot clearly be identified as a non felony or not related to dealing in moto
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