Fillable LF601 Ownership Information

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LF601 Ownership Information

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Ownership Information
This is important:
• Submitting an application containing false, misleading, or incomplete information may be groundsfor
denial or
license cancellation, revocation, o
r suspension.
• A person who knowingly makes
a false statement in connec
tion with applying for or renewing a
license may be
subject to criminal prosecution.
If y
ou are in
doubt as to
how to respond to these questions,
full and honest disclosure is highly recommended.
1.
Has any person listed on this form, or any officer, director, partner, trustee, or other person acting in a
representative capac
ity for the applicant or license holder ever been convicted of a felony or
misdemeanor offense in any in-state, out-of-state, or federal jurisdiction?
(If yes, submit Criminal History, Form LF606.)
No
Yes
Has any person listed on this form, or any officer, director, partner, trustee, or other person acting in a
2.
representative capacity for the applicant or license holder, ever received a deferred adjudication for a
felony or misdemeanor offense in any in-state,out of state, or federal jurisdiction?
Yes
No
Has any person listed on this form, or any officer, director, partner, trustee, or other person acting in a
3.
representative capacity for the applicant or license holder, ever been convicted by a court martial or is
currently the subject of a pending court martial under the Uniform Code of Military Justice? (If yes,
submit Criminal History, Form LF606.)
Yes
No
TYPE OF BUSINESS (check only one box):
Sole Proprietorship
Limited Liability Company
General Partnership
Corporation
Limited Partnership/LTD
Limited Liability Par
tnership
Other (Specify below)
Ownership Percentage Instructions
• List all individuals and business entities with any ownership interest in the business (this includes sole proprietors)
until total ownership indicated equals 100%.
• Only direct ownership of the business entity (applicant) applying for the license should be provided. If direct
ownership is held by another business entity, do not list that business entity’s ownership.
Information Fields:
• Name of Owner:
• SOLE PROPRIETOR: list the legal name and SSN of the owner (for example, John Doe, Jr.)
• GENERAL PARTNERSHIP: list the legal name and SSN of each owner (for example, John Doe Jr., Jane Doe)
• ALL OTHERS: list the full legal name of each person (and his/her SSN) or business entity that has ownership.
• If the applicant is a publicly traded or nonprofit corporation, please mark the appropriate box and complete that section
by providing one officer/director in lieu of ownership information.
• Title: Examples - Owner, President, CEO, Partner, General Partner, Member, etc.
• Driver License:
• Applies to individuals.
• Attach a copy of the driver license for each individual listed.
• If the driver license was issued in a foreign country, provide that information.
Dealer & Licensees Form LF601
(Rev 01/2020)
Page 1
of
2
(512) 465-3000
T
oll-Free (888) 368-4689
Form available online at www.TxDMV.gov
Business Name:
Ownership Percentage
1.
Name of Owner (Person or Business) Title
% of Ownership
Date of Birth Driver’s License # and State Expiration Date
SSN OR EIN
(if person) (if business)
If this is a business, is it nonprofit?
YES
NO
If this is a business, is it PUBLICLY TRADED?
YES NO
2.
Name of Owner (Person or Business) Title
% of Ownership
Date of Birth Driver’s License # and State Expiration Date
SSN OR EIN
(if person) (if business)
If this is a business, is it nonprofit?
YES
NO
If this is a business, is it PUBLICLY TRADED?
YES NO
3.
Name of Owner (Person or Business) Title
% of Ownership
Date of Birth Driver’s License # and State Expiration Date
SSN OR EIN
(if person) (if business)
If this is a business, is it nonprofit?
YES
NO
If this is a business, is it PUBLICLY TRADED?
YES
NO
4.
Name of Owner (Person or Business) Title
% of Ownership
Date of Birth Driver’s License # and State Expiration Date
SSN OR EIN
(if person) (if business)
If this is a business, is it nonprofit?
YES
NO
If this is a business, is it PUBLICLY TRADED?
YES NO
5.
Name of Owner (Person or Business) Title
% of Ownership
Date of Birth
Driver’s License # and State Expiration Date
SSN OR EIN
(if person) (if business)
If this is a business, is it nonprofit?
YES
NO
If
this is a business, is it
PUBLICLY TRADED?
YES NO
6.
Name of Owner (Person or Business) Title
% of Ownership
Date of Birth Driver’s License # and State Expiration Date
SSN OR EIN
(if person) (if business)
If this is a business, is it nonprofit?
YES
NO
If this is a business, is it PUBLICLY TRADED?
YES NO
OWNERSHIP PERCENTAGE TOTALING 100% IS R EQUIRED
All persons listed must provide SSN.
Privacy Statement
The Texas Department of Motor Vehicles maintains information collected through this form. With few exceptions, Texas Government Code Chapter 559 entitles
you to: (a) request to be informed about this information, and (b) ha ve TxDMV correct information about you that is incorrect. Chapter 552 of the Government
Code entitles you to receive and review this information. You must submit requests for information in writing. Requests may be submitted via email
to OGCOpenRecords@TxDMV.gov; by fax to (512) 465-4112; or by mail or in person to: TxDMV, OGC Open Records, 4000 Jackson Ave., Austin, TX 78731.
For more information, please call TxDMV at (888) 368-4689.
Dealer & Licensees Form LF601
(Rev 01/2020)
Page 2
of
2
(512) 465-3000
Toll-Free (888) 368-4689
Form available online at www.TxDMV.gov
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LF601 Ownership Information

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Completed 23 October 2020

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