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DEALER, DISTRIBUTOR, LESSOR, MANUFACTURER AND REBUILDER INFORMATION (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
OBL243 (12/2018)
OBL335 (7/2020)
Page 1 of 16
DEALER, DISTRIBUTOR, LESSOR, MANUFACTURER AND REBUILDER INFORMATION
“Dealer” and “vehicle dealer” defined.
1. “Dealer”
or “vehicle dealer” means any person who:
(a) For compens
ation, money or other thing of value sells, exchanges, buys, offers or displays for sale, negotiates or
attempts to negotiate a sale or exchange of an interest in a vehicle subject to registration under this chapter or induces
or attempts to induce any person to buy or exchange an interest in a vehicle;
(b) Represents himself as having the ability to sell, exchange, buy or negotiate the sale or exchange of an interest in a
vehicle subject to registration under this chapter or in any other state or territory of the United States;
(c) Receives or expects to receive a commission, money, brokerage fee, profit or any other thing of value from the seller or
purchaser of a vehicle; or
(d) Is engaged wholly or in part in the business of selling vehicles or buying or taking in trade vehicles for the purpose of
resale, selling or offering for sale or consignment to be sold or otherwise dealing in vehicles, whether or not he owns the
vehicles. NRS 482.020
“Distr
ibutor” defined. “Distributor” means a person, other than a manufacturer, who is engaged in the business of selling new motor
vehicles to dealers. NRS 482.028
“Lease,” “l
ong-term lessee,” “long-term lessor,” “short-term lessee” and “short-term lessor” defined. For the purposes of regulation
under this chapter and of imposing tort liability under NRS 41.440, and for no other purpose:
1. “Long-term lessor” means a person who has leased a vehicle to another person for a fixed period of more than 31 days.
2. “Short-term
lessor” means a person who has leased a vehicle to another person for a period of 31 days or less, or by
the day, or by the trip. NRS 482.053
“Manufacturer” defined. “Manufacturer” means every person engaged in the business of manufacturing motor vehicles, trailers or
semitrailers. NRS 482.060
“Rebuilder”
defined.
1. “Rebuilder” means a person engaged in the business of reconstructing motor vehicles by the alteration, addition or
substitution of substantial or essential parts or assembling of replica or specially constructed vehicles from unassembled
parts.
2. Nothing in
this section shall be construed to require any licensed new or used vehicle dealer to secure a license as a
rebuilder in conjunction with rebuilding in his own facilities. NRS 482.097
LICENSING REQUIREMENTS
1. Application for Business License (OBL237) completed in full and signed by a principal of the business.
2. Personal History Questionnaire (OBL242) completed by each principal of the business listed on the license application.
3. One set of fingerprints submitted by each principal of the business listed on the application. Principal must be
fingerprinted by an authorized NV DMV representative or a law enforcement agency. Check with your local law
enforcement agency for any additional fees
4. DPS Fingerprint Background Waiver (OBL256) completed and signed by each principal submitting a set of fingerprints.
5. A surety bond (OBL210) or a deposit in lieu of bond for the required amount: $10,000 for utility or boat trailers with an
unladen weight of 3,500 or less; $50,000 for motorcycles, horse trailers without living quarters or utility trailers with an
unladen weight of 3,501 or more; and $100,000 for all other vehicle types.
6. Insurance certificate showing automobile liability coverage. See insurance information sheet (OBL273).
7. Copy of City or County business license.
8. Fictitious Firm Name Filing, if applicable.
Occupational and Business Licensing
555 Wright Way
Carson City, Nevada 89711
(775) 684-4690
www.dmvnv.com
OBL243 (12/2018)
OBL335 (7/2020)
Page 2 of 16
9. Copy of Certificate of Incorporation and Corporate filing, with names of the officers, filed with the Nevada Secretary of
State’s Office, if applicable.
10. The Federal Employer Identification Number (FEIN) of the business
11. An email address for the business.
12. An established place of business within the state, with a permanent enclosed building large enough to accommodate an
office and sufficient space to display one or more vehicles. The established place of business must also have boundaries,
which are clearly marked.
13. A permanently affixed display sign with the name of the business in lettering eight inches high, formed by lines that are at
least one inch wide. The display sign must be clearly legible from the center of the nearest street or roadway.
14. Two color photographs of business location that clearly show the exterior of the business to include the display sign.
15. A site inspection conducted by the Department.
16. New Vehicle Dealers: Dealer Franchise Certification (OBL253) must be completed by each manufacturer or distributor
certifying the business is an authorized franchised dealer for the sale of designated vehicle make(s).
17. Manufacturers: Letter of verification from SAE International confirming applicant’s World Manufacture Identifier (WMI)
assignment. Contact SAE at www.sae.org or ksiddall@sae.org
or 724 772-8511.
APPLICATION FEES (Non-refundable)
New License Fee: $125.00
Fingerprint Processing Fee: 40.25 per principal
Technology Fee: $1.00
Late Fees: A license that expires for failure to renew may be reinstated upon submission of a completed renewal application,
renewal fee, and a $25.00 late fee.
Occupational and Business Licensing
555 Wright Way
Carson City, Nevada 89711
(775) 684-4690
www.dmvnv.com
Page 3 of 16
APPLICATION FOR BUSINESS LICENSE AND GARAGE REGISTRATION
State Business License Number
DMV License Number
(If new applicant, please leave blank)
Individual/Corporate Name
DBA Name
Street
City
State
Zip Code
Street
City
State
Zip Code
Business Phone Number
Business Fax Number
E-Mail Address
FEIN:
Reason for Submittal
Business Type
Dealer
(Business Activity)
Schools
(Business Activity)
☐
New Application
☐
Rebuilder
☐
Dealer
☐
Drive School
☐ Principal Location
☐
Manufacturer
☐ New Motor Vehicle
☐ Behind-the-Wheel
☐ Branch Location
☐
Distributor
☐ Used Motor Vehicle
☐ Classroom
☐
Change
☐
Transporter
☐ New Trailer
☐ Correspondence
Mark type of change(s)
☐
Broker
☐ Used Trailer
☐ Internet
☐ Add Activity
☐
Wrecker
☐ New Motorcycle
☐ Minors
☐ Remove Activity
☐ Electronic Notification
☐ Used Motorcycle
☐ Change of Principal(s)
☐
Salvage Pool
☐ Moped
☐
Traffic Safety School
☐ Adding ☐ Deleting
☐ Consignment Auction
☐ Long Term Lessor
☐ Classroom
☐ Change of Business Structure
☐ Live ☐ Internet
☐ Short Term Lessor
☐ Correspondence
☐ Change of Business Address
☐
Body Shop
☐ Short Term Tlr Lessor
☐ Internet
☐ Mailing ☐ Physical
☐ Class A Certificate
☐ Consignment Auction
☐
DUI School
☐ Change of Curriculum
☐ Live ☐ Internet
☐ Classroom
☐ Change of Class Schedule
☐
OHV Dealer
☐ Correspondence
☐ Change of Email Address
Garage Registration
☐ New OHV
☐ Internet
☐ Change of Business Name
☐
Garage
☐ Used OHV
Number of Technicians
☐ Long Term OHV Lessor
Emission Control
(Business Activity)
☐ Short Term OHV Lessor
Requested Name
☐
OHV Manufacturer
Type of Repairs
☐
Emission Station
☐ Gas
☐
Previous Name
☐ Diesel
☐
Duplicate License
☐ Test Only
☐ Test & Repair
☐ Fleet, Test Only
☐ Fleet, Test &
Repair
Dealers selling new vehicles must list vehicle makes franchised to sell:
☐
Individual
☐
Partnership
☐
LLP
☐
LLC
☐
Corporation
Incorporated in State of
File Date
OBL237 (11/2016)
OBL 335 (7/2020)
Clear Form
Occupational and Business Licensing
555 Wright Way
Carson City, Nevada 89711
(775) 684-4690
www.dmvnv.com
Page 4 of 16
OWNERSHIP: List name and title of each individual, each partner, whether general or limited, or each principal officer,
director or stockholder participating in the direction, control or management of the policy of the business. Use separate page if
necessary. Ownership change requires notification to the Department.
Name (Last, First, Middle)
Title
Registered Agent’s Information:
For Garage Registration Only: Additional Location(s)
Name of Business
Address
Phone Number and
Managers Name
# of
Technicians
Nevada Revised Statute and Nevada Administrative Code Chapters:
NRS/NAC Chapters 445B &
482
NRS/NAC Chapters 482 &
490
NRS/NAC Chapter 483
NRS/NAC Chapters 487 &
597 (Body Shop & Garage
only)
Station and Inspector
licensing.
Broker, Dealer, Distributor,
Long Term Lessor,
Manufacturer, Rebuilder,
Salesman, Short Term Lessor
and Transporter licensing,
including Off-Highway Vehicle
Industry Licensing.
Instructor and School
licensing.
Body Shop, Garage, Salvage
Pool and Wrecker licensing or
registration.
I understand providing false information or the omission of the requested information in this application is grounds to deny,
suspend, or revoke my business license or registration and constitutes a gross misdemeanor under Chapter 482, 483, 487,
445B and 490 of the Nevada Revised Statutes. Furthermore, I understand it is my responsibility to review the aforementioned
Nevada Revised Statute and Nevada Administrative Code Chapters with respect to the license or registration I am applying for
and agree to comply with the requirements stated therein. I declare under penalty of perjury that the foregoing is true and correct.
NOTE: TO BE SIGNED BY SOLE OWNER, PARTNER, OR OFFICER OF THE CORPORATION ONLY.
Signatures must be original. Photocopies are not acceptable.
Applicant’s Signature
Title
Date
State of Nevada
County of
Subscribed and sworn to before me this
day of
20
by
Signature of Notary Public or Authorized Nevada DMV Representative
Notary Seal
OBL237(11/2016)
OBL335 (7/2020)
PERSONAL HISTORY QUESTIONNAIRE
New Update
This questionnaire is filed as part of the licensing application for:
Business License: Principal Registered Agent/Manager
Occupational License: Salesperson Drive School Instructor Traffic Safety School Instructor
Inspector DUI School Instructor
All lines and spaces must be completed in full. If not applicable enter (N/A).
Full Legal Name:
Last First Middle
Additional names you have been known by (maiden name, stage name, nickname):
Mailing Address
Street City State Zip
Physical Address
Street City State Zip
Home Phone Additional Phone
Driver’s License No. State
Date of Birth
Place of Birth
City State
Social Security No. - -
Female
Male
Height
Weight
Hair
Eyes
Scars, marks, and/or tattoos
Employment History for the pas
t 5 years beginning with the most current (without gaps):
From
(month/year)
To
(month/year)
Employer
Complete Address/Telephone #
Occupational and Business Licensing
555 Wright Way
Carson City, Nevada 89711 - 0100
(775) 684-4690
www.dmvnv.com
Page 5 of 16
OBL 242 (2/2012)
OBL 335
(7/2020)
Page 6 of 16
Applicant’s Name
Personal History Questionnaire
List names, complete address, and phone numbers of two personal references.
Name
Address
Phone Number
Drive, DUI or Traffic Safety appli
cants only:
Have you ever been arrested or convicted of a crime or offense, either felony, gross misdemeanor or misdemeanor,
including traffic misdemeanor offenses?
Yes No
All other applicants:
Have you ever been arrested or convicted of a crime or offense, either felony, gross misdemeanor or misdemeanor,
excluding traffic misdemeanor offenses?
Yes No
If “Yes,” list separate charge by date of arrest. Describe the offense, court, and disposition in the appropriate
columns. If additional space required, use a separate sheet of paper.
Date of Arrest
Nature of Offense
Court of Jurisdiction
Disposition of Offense
Are you currently, or have you ev
er been under supervision of a parole or probation agency of any state? If so, provide
name and address of the agency, name of supervising officer and phone number. Provide a copy of your discharge; if
appropriate (explain.)
Child Support Information:
Nev
ada Revised Statute 482.319 requires all professional and occupational licensing agencies to request statements
regarding child support from applicants for new licenses and for renewal of all occupational licenses. Please mark the
appropriate response and complete the remainder of the form. Failure to mark one of the three and completion of the
form will result in denial of the application.
I am not subject to a court order for the support of a child.
I am subject to a court order for the support of one or more children and am in compliance with a
plan approved by the district attorney or other public agency enforcing the order for the
repayment of the amount owed pursuant to the order; or
I am subject to a court order for the support of one or more children and am not in compliance
with the order or plan approved by the district attorney or other public agency enforcing the order
for the repayment of the amount owed pursuant to the order.
OBL242 (12/2012)
OBL335 (7
/2020)
Page 7 of 16
Applicant’s Name
Personal History Questionnaire
Have you previously held or do you presently have a business or occupational license issued by the Department of Motor
Vehicles in this State or by any other State’s occupational licensing authority?
Yes No
If “Yes”, license number State
Have you ever had a business or occupational license, in this state or any other state including a driver’s license, which
was denied, suspended, revoked, or had administrative sanction against it?
Yes No (if Yes, explain)
I hereby authorize the Department of Motor V
ehicles to make any background investigation necessary as it pertains to the
issuance of my license. In relation, I authorize any person or entity contacted by the Department of Motor Vehicles, its
agents or employees to furnish any information or opinions they may have during the course of my initial background
investigation. I release from liability and promise to hold harmless under any and all causes of legal action, the State of
Nevada, Department of Motor Vehicles, its agents or employees and all persons or entities furnishing information or
opinions to the Department of Motor Vehicles related to my background investigation. I understand providing false
information or the omission of the requested information in this questionnaire is grounds to deny, suspend, or revoke my
business or occupational license. Furthermore, I understand filing false information to obtain any license or permit is a
criminal act as defined in Nevada Revised Statutes and Nevada Administrative Codes in addition to being subject to the
administrative sanctions as prescribed by law.
________________________________________________________ Dat
e
Signature of Applicant
Signatures must be original. Photocopies are not acceptable.
State of Nevada
County of
Subscribed and sworn before me this day of , 20 by
Notary Public or Authorized Nevada DMV Representative (Notary Seal)
For Department Use Only
Case No
Application completed and signed Fingerprints Background Investigation Total Fees $
Recommendation: Approved Denied
Date
Signature of Employee
Date
Signature of Supervisor (if applicable)
Date
Signature of Investigator (if applicable)
OBL242 (12/2012)
OBL335 (7
/2020)
OBL 335 (7/2020)
0505RCCD-003(09/2019rev)
Fingerprint Background Waiver
Page 8 of 16
Fingerprint
Background Waiver
As an applicant who is the subject of a Federal Bureau of Investigation (FBI) fingerprint-based
criminal history record check for a noncriminal justice purpose you have certain rights which are
discussed below.
1. You must be notified by Nevada Department of Motor Vehicles Compliance
Enforcement Division (name of requesting agency) that your fingerprints will be used to
check the criminal history records of the FBI and the State of Nevada.
2. Authority: The FBI’s acquisition, preservation, and exchange of fingerprints and associated
information is generally authorized under 28 U.S.C. 534. Depending on the nature of your
application, supplemental authorities include Federal statutes, State statutes pursuant to
Pub. L. 92-544, Presidential Executive Orders, and federal regulations. Providing your
fingerprints and associated information is voluntary; however, failure to do so may affect
completion or approval of your application.
3. Principal Purpose: Certain determinations, such as employment, licensing, and security
clearances, may be predicated on fingerprint-based background checks. Your fingerprints
and associated information/biometrics may be provided to the employing, investigating, or
otherwise responsible agency, and/or the FBI for the purpose of comparing your fingerprints
to other fingerprints in the FBI’s Next Generation Identification (NGI) system or its successor
systems (including civil, criminal, and latent fingerprint repositories) or other available
records of the employing, investigating, or otherwise responsible agency. The FBI may retain
your fingerprints and associated information/biometrics in NGI after the completion of this
application and, while retained, your fingerprints may continue to be compared against other
fingerprints submitted to or retained by NGI.
4. Routine Uses: During the processing of this application and for as long thereafter as your
fingerprints and associated information/biometrics are retained in NGI, your information
may be disclosed pursuant to your consent, and may be disclosed without your consent as
permitted by the Privacy Act of 1974 and all applicable Routine Uses as may be published at
any time in the Federal Register, including the Routine Uses for the NGI system and the FBI’s
Blanket Routine Uses. Routine uses include, but are not limited to, disclosures to: employing,
governmental or authorized non-governmental agencies responsible for
employment, contracting, licensing, security clearances, and other suitability
determinations; local, state, tribal, or federal law enforcement agencies; criminal
justice agencies; and agencies responsible for national security or public safety.
Applicant:
__________________ ___________________
Initial Date
OBL 335 (7/2020)
0505RCCD-003(09/2019rev)
Fingerprint Background Waiver
Page 9 of 16
5. If you have a criminal history record, the officials making a determination of your suitability
for the job, license or other benefit for which you are applying must provide you the
opportunity to complete or challenge the accuracy of the information in the record. You may
review and challenge the accuracy of any and all criminal history records which are returned
to the submitting agency. The proper forms and procedures will be furnished to you by the
Nevada Department of Public Safety, Records Bureau upon request. If you decide to challenge
the accuracy or completeness of you FBI criminal history record, Title 28 of the Code of
Federal Regulations Section 16.34 provides for the proper procedure to do so:
16.34 - Procedure to obtain change, correction or updating of identification
records. If, after reviewing his/her identification record, the subject thereof
believes that it is incorrect or incomplete in any respect and wishes changes,
corrections or updating of the alleged deficiency, he/she should make application
directly to the agency which contributed the questioned information. The subject of
a record may also direct his/her challenge as to the accuracy or completeness of any
entry on his/her record to the FBI, Criminal Justice Information Services (CJIS)
Division ATTN: SCU, Mod. D-2, 1000 Custer Hollow Road, Clarksburg, WV 26306.
The FBI will then forward the challenge to the agency which submitted the data
requesting that agency to verify or correct the challenged entry. Upon the receipt of
an official communication directly from the agency which contributed the original
information, the FBI CJIS Division will make any changes necessary in accordance
with the information supplied by that agency.
6. Based on 28 CFR § 50.12 (b), officials making such determinations should not deny the
license or employment based on information in the record until the applicant has been
afforded a reasonable time to correct or complete the record or has declined to do so.
7. You have the right to expect that officials receiving the results of the fingerprint-based
criminal history record check will use it only for authorized purposes and will not retain or
disseminate it in violation of federal or state statute, regulation or executive order, or rule,
procedure or standard established by the National Crime Prevention and Privacy Compact
Council.
8. I hereby authorize Nevada Department of Motor Vehicles Compliance Enforcement
Division (name of requesting agency), to submit a set of my fingerprints to the Nevada
Department Public Safety, Records Bureau for the purpose of accessing and reviewing State
of Nevada and FBI criminal history records that may pertain to me.
In giving this authorization, I expressly understand that the records may include information
pertaining to notations of arrest, detainments, indictments, information or other charges for
which the final court disposition is pending or is unknown to the above referenced agency.
For records containing final court disposition information, I understand that the release may
include information pertaining to dismissals, acquittals, convictions, sentences, correctional
supervision information and information concerning the status of my parole or probation
when applicable.
Applicant:
__________________ ___________________
Initial Date
Page 10 of 16
9. I hereby release from liability and promise to hold harmless under any and all causes of legal
action, the State of Nevada, its officer(s), agent(s) and/or employee(s) who conducted my
criminal history records search and provided information to the submitting agency for any
statement(s), omission(s), or infringement(s) upon my current legal rights. I further release
and promise to hold harmless and covenant not to sue any persons, firms, institutions or
agencies providing such information to the State of Nevada on the basis of their disclosures. I
have signed this release voluntarily and of my own free will.
A reproduction of this authorization for release of information by photocopy, facsimile or similar
process, shall for all purposes be as valid as the original.
In consideration for processing my application I, the undersigned, whose name and signature
voluntarily appears below; do hereby and irrevocably agree to the above.
Last Name
First Name
Middle
Last Name
First Name
Middle
Applicant’s Name:
PLEASE PRINT
ADDRESS:
PLEASE PRINT
Applicant’s Signature:
Date:
Submitting Agency:
Address:
Agency Representative:
PLEASE PRINT
Agency Representative Signature:
Date:
OBL 335 (7/2020)
0505RCCD-003(09/2019rev)
Fingerprint Background Waiver
Nevada Department of Motor Vehicles
555 Wright Way Carson City, Nevada 89711
Occupational and Business Licensing
555 Wright Way
Carson City, Nevada 89711
(775) 684-4690
www.dmvnv.com
Page 11 of 16
VEHICLE INDUSTRY BUSINESS LICENSE BOND
Bond Number
License Type:
Broker
Dealer/Rebuilder/Lessor
Distributor
Manufacturer
Off-Highway Vehicle
KNOW
ALL MEN BY THESE PRESENTS:
That , as principal,
(Individual or Corporate Name and Name Doing Business as)
located in the County of , State of Nevada, obligee, and
, a corporation organized and existing under and by virtue of the
(Name of Surety)
laws of the State of , and authorized to transact a surety business in the State of Nevada, as surety,
are held and firmly bound unto the State of Nevada in the penal sum of THOUSAND DOLLARS for the payment
of which well and truly to be made we hereby bind ourselves, our respective heirs, administrators, executors, successors
and assigns jointly and severally, firmly by these presents:
To be effective on the day of , 20
THE CONDI
TION OF THIS OBLIGATION IS SUCH THAT:
WHEREAS, the above-named principal has been licensed to carry on or conduct in this State the business of
buying, selling, transporting, manufacturing, distributing, brokering or dealing in new or used vehicles, trailers, motorcycles
or semitrailers; and
WHER
EAS, the above-named surety herein agrees that any consumer, as defined in NRS 482.345, injured by the
action or actions of the principal and/or his salesmen involved in any fraud or fraudulent representation or in violation of any
of the provisions of Chapter 482 or Chapter 490 of the Nevada Revised Statutes or Nevada Administrative Codes may bring
action in said injured person’s own name against the said surety. This bond is continuous in form and the total aggregate
liability of the bond is limited to the payment of the total amount of the bond. In the event of a dispute of a claim by the surety
company, application may be made to the Director, Department of Motor Vehicles for good cause shown. After notice and
hearing, the director may authorize payment of funds from here said surety coverage.
OBL210 (09/2019)
OBL335 (7/1/20)
Page 12 of 16
Bond Number
This bond
may be canceled by the surety at any time by giving written notice by registered mail of its desire and
intention so to do. Said cancellation shall be effective thirty (30) days after the receipt of said notice by the State of Nevada
Department of Motor Vehicles, Occupational and Business Licensing Section.
Signed, sealed and dated this day of , 20
X
(Principal’s Signature)
________________________________________________________
(Principal’s Printed Name)
(Surety)
Telephone Number of Surety:
(Mailing Address of Surety Company, Street)
(City, State and Zip Code)
By
(Signature, Attorney-In-Fact for Surety)
(Printed Name, Attorney-In-Fact)
(The Corporate Seal of the Surety Company must be imprinted or affixed
to the bond form)
(Surety
Seal)
OBL273 (7/2018)
OBL 335 (7/2020)
Compliance Enforcement Division
Occupational and Business Licensing
555 Wright Way
Carson City, NV 89711-0100
(775) 684-4690
www.dmvnv.com
INSURANCE REQUIREMENTS
Insurance certificates must show automobile liability coverage with the Department listed
in the certificate holder section. Combined Single Limit (CSL) means an aggregate of the
total liability (bodily injury and property damage) per accident. CSL is acceptable on a
certificate of insurance as long as the amount is equal to or greater than the amount listed
below.
Agents are required to submit the appropriate ACORD form, or a comparable company
form, titled “Certificate of Liability Insurance”. Please note the following:
The insured name must match the DBA name listed on the business application.
All coverage types as required below must be clearly marked.
If a “Garage Liability” insurance policy is acceptable per the below requirement, it
may be indicated by checking one of the empty boxes in the “Automobile Liability”
section and filling in “Garage Liability” or by submitting the appropriate “Garage
Liability” form.
Descriptions of operations may be noted in the “Description of
Operations/Locations/Vehicles” section.
Please Note: The Insurance Requirements on this form have been reviewed and approved by the
Division of Insurance, Property & Casualty Section, 1818 E College Pkwy, Ste 103, Carson City, NV
89706, (775) 687-0700.
Dealers, Rebuilders, Manufacturers, Distributors and Transporters Garage
Liability policy (including automobile liability) or Commercial Auto policy is acceptable
per NRS 482.325. Language must include one of the following:
Any auto (symbol 21 for Garage Liability or symbol 1 for Commercial Auto), CSL of at least
$95,000 per accident or bodily injury $25,000 per person, bodily injury $50,000 per accident,
property damage $20,000.
OR
All owned or scheduled autos, plus hired and non-owned autos (symbols 22 or 27 plus 28 and 29
for Garage Liability or symbols 2 or 7 plus 8 and 9 for Commercial Auto), CSL of at least $95,000
per accident or bodily injury $25,000 per person, bodily injury $50,000 per accident, property
damage $20,000.
Page 13 of 16
OBL273 (7/2018)
OBL 335 (7/2020)
Trailer Dealers, Manufacturers and Distributors Garage Liability policy (including
automobile liability) or Commercial Auto policy is required only when the licensee
requests or has special plates issued by the Department per NRS 482.325. Language
must include one of the following:
Any auto (symbol 21 for Garage Liability or symbol 1 for Commercial Auto), CSL of at least
$95,000 per accident or bodily injury $25,000 per person, bodily injury $50,000 per accident,
property damage $20,000.
OR
All owned or scheduled autos, plus hired and non-owned autos (symbols 22 or 27 plus 28 and 29
for Garage Liability or symbols 2 or 7 plus 8 and 9 for Commercial Auto), CSL of at least $95,000
per accident or bodily injury $25,000 per person, bodily injury $50,000 per accident, property
damage $20,000.
Salvage Pools and Wreckers Garage Liability policy or Commercial Auto policy is
acceptable. Insurance is required only when the licensee requests or has special
plates issued by the Department. Language must include the following:
Any auto (symbol 21 for Garage Liability or symbol 1 for Commercial Auto), CSL of at least
$95,000 per accident or bodily injury $25,000 per person, bodily injury $50,000 per accident,
property damage $20,000.
OR
All owned or scheduled autos, plus hired and non-owned autos (symbols 22 or 27 plus 28 and 29
for Garage Liability or symbols 2 or 7 plus 8 and 9 for Commercial Auto ), CSL of at least $95,000
per accident or bodily injury $25,000 per person, bodily injury $50,000 per accident, property
damage $20,000.
Body Shops Garage Liability policy or Commercial Auto policy is acceptable.
Insurance is required when the licensee requests or has special plates issued by the
department. Language must include the following:
Any auto (symbol 21 for Garage Liability or symbol 1 for Commercial Auto), CSL of at least
$95,000 per accident or bodily injury $25,000 per person, bodily injury $50,000 per accident,
property damage $20,000.
OR
Hired and non-owned autos (symbols 28 and 29 and 30 or symbols 8 and 9 for Commercial Auto),
CSL of at least $95,000 per accident or bodily injury $25,000 per person, bodily injury
$50,000 per accident, property damage $20,000.
Professional Drive Schools Commercial Auto policy is required per NRS
483.740. Language must include the following:
Scheduled Autos (symbol 7), CSL of at least $450,000 per accident or bodily injury or death of one
person per accident $100,000, bodily injury or death of two or more persons $300,000 per accident,
property damage $50,000.
Each vehicle covered by this policy must be listed by the vehicle identification number (VIN). NAC
487.750
Page 14 of 16
Occupational and Business Licensing
555 Wright Way
Carson City, NV 89711
(775) 684-4690
www.dmvnv.com
OBL265 (2/2017)
OBL335 (7/2020)
CITY OR COUNTY BUSINESS LICENSE APPROVAL
As an applicant for a State of Nevada Department of Motor Vehicles, Business License, you are
required to provide the department a photocopy of the license, certificate or permit issued by the
appropriate city or county business licensing agency.
The department will accept a photocopy of the business license application and approval from the
business licensing agency, pending receipt of the photocopy of the business license, certificate or
permit.
To be completed by City or County business licensing agency
Name of Business
Mailing Address of Business
Street
City
State
Zip Code
Physical Address of Business
Street
City
State
Zip Code
The license application for the above listed business has been approved and granted permission
to conduct business as a
at the above address.
Type of business activity
City or County Business Licensing Official
Date Approved
Validate by placing Agency Stamp below
Business License Agency
Page 15 of 16
NV
NV
DEALER FRANCHISE CERTIFICATION
DMV Business License Number __________________________
(If new applicant, please leave blank)
Individual/Corporate Name _____________________________________________________________________________________
DBA Name __________________________________________________________________________________________________
Mailing Address ______________________________________________________________________________________________
Street City State Zip
Physical Address _____________________________________________________________________________________________
Street City State Zip
Business Phone Number (________) ________ - ______________ FEIN _____________________________________________
**********************************************************************************************************************************************************
Manufacturer/Distributor Name __________________________________________________________________________________
Mailing Address ______________________________________________________________________________________________
Street City State Zip
Physical Address _____________________________________________________________________________________________
Street City State Zip
Authorized Agent ______________________________________________ Phone Number (________) ________ - ___________
Authorized Agent Address ______________________________________________________________________________________
Street City State Zip
**********************************************************************************************************************************************************
Vehicle Make ____________________________________ Contract Effective Date _______________________________
Assigned Sales Location _______________________________________________________________________________________
**********************************************************************************************************************************************************
Please check the box that applies.
This dealership is NOT establishing, relocating or reopening at a location within the relevant market area of existing
franchised dealers. Relevant market area is defined in NRS 482.3634
This dealership is establishing, relocating or reopening at a location within the relevant market area of existing franchised
dealers and proper written notice of intent to enter into this franchise agreement has been made to the department and to
each such existing franchised dealer as required by NRS 482.36357
Please check the box that applies.
A copy of the contract, including specific dealer delivery and preparation obligations, is attached for filing as required.
A blanket contract, including specific dealer delivery and preparation obligations has been or is filed as required by law.
I certify that the identified dealer and manufacturer/distributor have executed a contract effective on the date specified, subject to the
licensing provisions of Nevada Revised Statutes Chapter 482, for the representation and sales of the indicated make of motor vehicles
in the listed assigned sales location. Furthermore, I understand that pursuant to NRS 482.3638, any term or condition which waives any
provision of NRS 482.36311 – 482.36425, is void and unenforceable.
___________________________________________________
Signature of Authorized Agent Date
NOTE: In case of franchise termination or expiration, NRS 482.36352 requires written notice be given the dealer, including the effective
date and specific grounds for termination or expiration, at least 60 days prior to the effective date and that a copy of the notice be filed
with the Director of the Nevada Department of Motor Vehicles. Manufacturer and distributor responsibilities, when franchising Nevada
motor vehicle dealers, are included in NRS Chapter 482.
Occupational and Business Licensing
555 Wright Way
Carson City, Nevada 89711
(775) 684–4690
www.dmvnv.com
Page 16 of 16
OBL253(06/2013)
OBL335(7/2020)
NV
NV
NV
NV
NV
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DEALER, DISTRIBUTOR, LESSOR, MANUFACTURER AND REBUILDER INFORMATION (Department of Motor Vehicles )

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Completed 24 December 2020

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