Fillable APPLICATION FOR BUSINESS IDENTIFICATION CARD (Department of Motor Vehicles )

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APPLICATION FOR BUSINESS IDENTIFICATION CARD (Department of Motor Vehicles )

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Occupational and Business Licensing
555 Wright Way
Carson City, Nevada 89711
(775) 684-4690
www.dmvnv.com
OBL 252 (02-2017)
APPLICATION FOR BUSINESS IDENTIFICATION CARD
Please type or print in ink. FEES
Dealer Original Identification Card New $ ______
Rebuilder Renewal of Identification Card Renew $ ______
Wrecker Duplicate Identification Card Duplicate $ ______
Original and duplicate dealer and rebuilder ID cards $51, renewal $26. All wrecker ID cards $51, which includes a
Technology fee.
Business Name __________________________________________ Business License No _____________________
Physical Address __________________________________________________________________________________
City _______________________________ State __________ Zip _____________ Phone No ___________________
Mailing Address ___________________________________________________________________________________
City _______________________________ State __________ Zip _____________ Phone No ___________________
Applicant’s Full Legal Name _________________________________________ DLN______________________
_______________________________________________________ ________________________________
Signature of Applicant Date
_______________________________________________________ ________________________________
Signature of Principal Date
******************************************************************************************************************************************
Notification of Lost, Stolen or Destroyed Identification Card
I, ___________________________________________, of _________________________________________________
(Principal’s name) (Business name)
Physical Address __________________________________________________________________________________
City _________________________________ State __________ Zip _____________ Phone No _________________
Business License No ___________________, do hereby certify that the Nevada ______________________ identification
(Dealer, rebuilder or wrecker)
card issued to _____________________________, has been lost, stolen or destroyed.
(Name of cardholder)
______________________________________________________ ________________________________
Signature of Principal Date
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APPLICATION FOR BUSINESS IDENTIFICATION CARD (Department of Motor Vehicles )

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Completed 24 December 2020

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