Fillable APPLICATION TO AUTHORIZE TRANSPORT PLATE PURCHASER (Virginia Department of Motor Vehicles)

Fill Online, Printable, Fillable, Blank APPLICATION TO AUTHORIZE TRANSPORT PLATE PURCHASER (Virginia Department of Motor Vehicles) Form

Use Fill to complete blank online VIRGINIA DEPARTMENT OF MOTOR VEHICLES pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

APPLICATION TO AUTHORIZE TRANSPORT PLATE PURCHASER (Virginia Department of Motor Vehicles)

On average this form takes 19 minutes to complete

The APPLICATION TO AUTHORIZE TRANSPORT PLATE PURCHASER (Virginia Department of Motor Vehicles) form is 1 page long and contains:

  • 0 signatures
  • 24 check-boxes
  • 65 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your Virginia Department of Motor Vehicles forms online.

BROWSE VIRGINIA DEPARTMENT OF MOTOR VEHICLES FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
DSD 43 (08/25/2015)
MOTOR VEHICLE DEALER
APPLICATION TO AUTHORIZE
TRANSPORT PLATE PURCHASER
Purpose: Use this form to add, update the status of, or remove an employee from eligibility to purchase transport
plates on behalf of the dealership.
Instructions: Mail the completed form to Dealer Services, at the above address or fax to (804) 367-7046. To list additional
authorized purchasers, use a second DSD 43 form.
DEALER INFORMATION
DEALERSHIP NAME DEALER LICENSE NUMBER TELEPHONE NUMBER
BUSINESS ADDRESS FAX NUMBER
CITY STATE ZIP CODE
EMAIL ADDRESS
Action
Add
Remove
Update
Purchaser Information
FULL LEGAL NAME (last)
FULL LEGAL NAME (first) (mi) (suffix)
DMV CUSTOMER NUMBER STATE
Action
Add
Remove
Update
Purchaser Information
FULL LEGAL NAME (last)
FULL LEGAL NAME (first) (mi) (suffix)
DMV CUSTOMER NUMBER STATE
Add
Remove
Update
FULL LEGAL NAME (last)
FULL LEGAL NAME (first) (mi) (suffix)
DMV CUSTOMER NUMBER STATE
Add
Remove
Update
FULL LEGAL NAME (last)
FULL LEGAL NAME (first) (mi) (suffix)
DMV CUSTOMER NUMBER STATE
Add
Remove
Update
FULL LEGAL NAME (last)
FULL LEGAL NAME (first) (mi) (suffix)
DMV CUSTOMER NUMBER STATE
Add
Remove
Update
FULL LEGAL NAME (last)
FULL LEGAL NAME (first) (mi) (suffix)
DMV CUSTOMER NUMBER STATE
Add
Remove
Update
FULL LEGAL NAME (last)
FULL LEGAL NAME (first) (mi) (suffix)
DMV CUSTOMER NUMBER STATE
Add
Remove
Update
FULL LEGAL NAME (last)
FULL LEGAL NAME (first) (mi) (suffix)
DMV CUSTOMER NUMBER STATE
AUTHORIZED PURCHASER INFORMATION
CERTIFICATION
I certify and affirm that all information presented in this form is true and correct, that any documents I have presented to DMV are genuine, and
that the information included in all supporting documentation is true and accurate. I make this certification and affirmation under penalty of
perjury and I understand that knowingly making a false statement or representation on this form is a criminal violation.
TOTAL AUTHORIZED PURCHASERS ADDED DEALER, DEALER-OPERATOR, OR OWNER NAME (print) TITLE
DEALER, DEALER-OPERATOR, OR OWNER SIGNATURE
DATE (mm/dd/yyyy)
EXECUTED AND SIGNED IN THE
CITY OFCOUNTY OF
STATE
( )
( )
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

APPLICATION TO AUTHORIZE TRANSPORT PLATE PURCHASER (Virginia Department of Motor Vehicles)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 2 November 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document