Application For Construction Equipment Auction License Form. This is a Ohio form and can be use in Bureau Of Motor Vehicles Statewide.
Tags: Application For Construction Equipment Auction License, BMV 4324, Ohio Statewide, Bureau Of Motor Vehicles
OHIO DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES APPLICATION FOR CONSTRUCTION EQUIPMENT AUCTION LICENSE 1. PLEASE PRINT LEGIBLY IN BLACK INK OR TYPE THE FOLLOWING INFORMATION BUSINESS NAME BUSINESS TELEPHONE NUMBER DBA OR FICTITIOUS TRADE NAME, If applicable ALTERNATIVE TELEPHONE NUMBER BUSINESS STREET ADDRESS FAX NUMBER CITY STATE ZIP CODE COUNTY EMAIL ADDRESS 2. INDICATE STYLE OF BUSINESS PROPRIETORSHIP PARTNERSHIP CORPORATION BUSINESS TRUST LIMITED LIABILITY 3. VENDOR’S NUMBER 4. INDICATE FEDERAL TAX ID OR EMPLOYER ID NUMBER COST 5. CONSTRUCTION EQUIPMENT AUCTION PERMIT COST $7,500.00 MAKE CHECK PAYABLE TO: OHIO TREASURER JOSH MANDEL (DO NOT SEND CASH) FEES ARE NON-REFUNDABLE BMV 4324 7/11 Page 1 of 4 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 a 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, then list the officers of the corporation in Part B. 6A. PART A MEMBER-Use only if member is a corporation TRUSTEE-Use only if a trustee is a corporation PARTNER-Use only if a partner is a corporation CORPORATE BUSINESS NAME FEDERAL TAX ID OR EIN ADDRESS CITY STATE ZIP CODE 6B. PART B Sole Proprietor LAST NAME FIRST NAME MI Partner President HOME ADDRESS SSN Trustee Director CITY STATE ZIP CODE Member, (owning 10% or more) Partner LAST NAME FIRST NAME MI Vice-President Trustee HOME ADDRESS SSN Director Member, (owning 10% or more) CITY Partner LAST NAME STATE ZIP CODE FIRST NAME MI Secretary Trustee HOME ADDRESS SSN Director Member, (owning 10% or more) CITY Partner LAST NAME STATE ZIP CODE FIRST NAME MI Treasurer Trustee HOME ADDRESS SSN Director Member, (owning 10% or more) CITY STATE ZIP CODE Ohio residents who are owners, all partners, president, all members, owning 10% or more, and all trustees MUST be electronically fingerprinted and have results forwarded to the Dealer Licensing Section, P.O. Box 16521, Columbus, Ohio 43216-6521. Visit www.ohioattorneygeneral.gov, select Services, select Background Check, then select Webcheck locations for a complete listing of electronic fingerprinting 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 4324 7/11 Page 2 of 4 American LegalNet, Inc. www.FormsWorkFlow.com ANSWER EACH OF THE FOLLOWING QUESTIONS TRUTHFULLY TO THE BEST OF YOUR KNOWLEDGE 7. I, as the applicant, affirm that the business listed on this application receives more than one million dollars in gross annual sales in the State, and derives not more than ten percent of the person’s gross annual sales revenue in this State from the sale of motor vehicles having a gross vehicle weight rating of ten thousand pounds or less. Yes No 8. 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) BUSINESS NAME APPLIED IN DATE TYPE OF LICENSE PERMIT NUMBER – IF ISSUED 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? 9. 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? Yes No NAME PERMIT NUMBER NAME PERMIT NUMBER 10. Has the applicant or any of the applicant’s partners, officers, members, trustees or director: Yes No Ever been found guilty of any fraudulent act in connection with selling or otherwise dealing in auctions, vehicles, or equipment? 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 motor vehicles will require journal entries showing final disposition. Failure to submit this information will result in a delay in the processing of the application. 11. Was the proposed business location previously occupied by another licensed motor vehicle dealer? If yes, give the business name, if available: Yes No BUSINESS NAME BMV 4324 7/11 Page 3 of 4 American LegalNet, Inc. www.FormsWorkFlow.com I affirm that all statements in the foregoing application and in any attached sheets are true and correct and that I, as proprietor, as a partner, an officer, member, or trustee, have authority to sign this application and to make the statements contained herein and have read and understand the Instructions and Checklist, (BMV 4380). SIGNATURE (OWNER, PARTNER, PRESIDENT, MEMBER, OR TRUSTEE) DATE OF APPLICATION X PRINT OR TYPE NAME OF SIGNER TITLE NOTARY: Subscribed and sworn to before me this day of , in the county of State of Ohio. (SEAL) My commission expires X RETURN THE COMPLETED APPLICATION, PHOTOGRAPH, OTHER SUPPORTING DOCUMENTS AND FEES TO: The Ohio Bureau of Motor Vehicles Attn: Dealer Licensing Section P.O. Box 16521 Columbus, Ohio 43216-6521 www.OhioAutoDealers.com DO YOU NEED IN-TRANSIT PLATES? You may apply for In-Transit license plates to be used in conjunction with your auction business. These license plates may only be used on motor vehicles being transported from any individual, firm, or corporation, to any point of destination. To obtain an In-Transit license plate application (BMV 4366), visit our website at www.OhioAutoDealers.com, select Miscellaneous Business Plates, for forms and information on In-Transit license plates. BMV 4324 7/11 Page 4 of 4 American LegalNet, Inc. www.FormsWorkFlow.com