OHIO DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES APPLICATION TO REQUEST A CLASSIC MOTOR VEHICLE AUCTION All blanks must be completed. No auction may be held without permission granted by the Registrar, of Motor Vehicles at least thirty days prior to the auction. Please allow 15 business days for processing. PRINT LEGIBLY IN INK OR TYPE BUSINESS NAME CONTACT PERSON ADDRESS CITY AUCTIONEER'S NAME DATE OF AUCTION ADDRESS WHERE AUCTION IS TO BE HELD CITY STATE ZIP CODE COUNTY STATE STATE OF RESIDENCE ZIP CODE TELEPHONE NUMBER FACSIMILE NUMBER EMAIL ADDRESS COUNTY AUCTIONEER' LICENSE NUMBER ANSWER THE FOLLOWING QUESTIONS TRUTHFULLY AND TO THE BEST OF YOUR KNOWLEDGE 1. I, as the applicant, owner, partner, corporate officer, member or trustee of the business making application affirm: YES NO Have not held more than four classic motor vehicle auctions within the past 12 months and said auction will not last more than two days? Will only allow Classic Motor Vehicles to be auctioned by an Auction firm or Auction service? Will not permit the auctioning of any motor vehicle other than a Classic Motor Vehicle? Will not auction a classic motor vehicle to the general public where legal ownership of the vehicle, is not evidenced by a valid certificate of title Issued, pursuant to Chapter 4505. of the Ohio Revised Code, at the time of the auction. YES YES YES NO NO NO If any questions were answered "no" please provide detailed information. 2. YES NO Is the applicant or any of the applicant's partners, officers, members or trustees a licensed motor vehicle dealer? If yes, please indicate permit number . BMV 4476 6/13 [17600983] Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com IMPORTANT INFORMATION A "Classic Motor Vehicle" means a motor vehicle that is over twenty-six years old. A classic motor vehicle auction must take place on a different date and time than a regular motor vehicle auction. The licensed auctioneer must be a resident of Ohio. RECORDS REQUIRED Records must be kept for three years, be reasonably available for inspection and shall include the following: 1. 2. 3. 4. 5. 6. 7. 8. Certificate of title number, county and state of registration; The year, make, model and vehicle identification number; The name and address of the person offering the vehicle for sale; The date the vehicle is offered for sale; The name and address of the person buying the vehicle; The purchase price; Odometer reading at the time of the auction; Odometer statement from the person offering the vehicle for sales. DEFINITIONS "Person" means an individual, sole proprietor, corporation, limited liability company, association, partnership, and any combinations of individuals. "Auction firm" means a person who provides auction services and is licensed by the Department of Agriculture. "Auction services" means arranging, managing, and sponsoring a personal property auction. "Auction services" includes the taking and advertising of personal property on consignment to be sold at auction by a licensed auctioneer. SWORN STATEMENT SIGNATURE OF CONTACT PERSON DATE X Subscribed and sworn to before me this day of , 20 , in the County of , State of Ohio X NOTARY PUBLIC SIGNATURE MY COMMISSION EXPIRES RETURN FORM TO: OHIO BUREAU OF MOTOR VEHICLES DEALER LICENSING SECTION P.O. BOX 16521, COLUMBUS, OHIO 43216-6521 Telephone number: (614) 752-7636 or, you may send by facsimile to: (614) 752-7220 www.OhioAutoDealers.com BMV 4476 6/13 [17600983] Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com