MOTOR VEHICLE AUCTION DEALER
TWO YEAR LICENSE APPLICATION
MV2492 10/2019 s.345.17, s.946.32 Wis. Stats.
Wisconsin Department of Transportation
Dealer Section
4822 Madison Yards Way
P.O. Box 7909
Madison, WI 53707-7909
FOR OFFICE USE ONLY
Issued
Expires
Legal Name
(Area Code) Telephone Number
Dealer License Number
Trade Name(s) or DBAs
Federal Employer Identification Number
Business Address Post Office Box Number City State ZIP Code
County where business located
Association
Corporation
LLC
If Corporation or LLC,
Date Licensed in Wisconsin
State of Incorporation or Organization
City Village Town
Name:
No
No
Address of Nonadjacent Branch Auction Sales Location
Name and Title of Owner, Partners, Association Members, Corporation Officers and Shareholders, LLC Managers and Members
Complete an Entity/Owner Statement (Form MV2844) for each individual listed.
Completely describe other business, if any, engaged in by your firm
Same location? YES NO
Complete only ONE of the following:
Is business real estate owned by:
Owner of sole proprietorship
One partner of partnership
Corporate dealership
LLC
YES NO
If no,
send copy
of lease.
YES NO
Are you licensed as a motor vehicle dealer or motor vehicle salvage dealer at same business location?
If yes, give license number(s)
Do you understand that sales of motor vehicles shall be confined only to those vehicles offered for sale by licensed motor vehicle
dealers and shall be sold ONLY to licensed motor vehicle dealers?
YES NO
Do you agree that each motor vehicle sold by this firm shall be sold with the understanding that a clear title to the vehicle will be
furnished?
Do you agree to protect and indemnify any aggrieved party including the Division of Motor Vehicles, Department of Transportation of
the State of Wisconsin for any claim arising out of the issuance of a Wisconsin title?
NOTE: If the answer is “No” or is left blank, you must obtain Title Insurance for vehicles sold. The policy must be issued by a company
licensed by the Office of the Commissioner of Insurance to do business in this state, and a copy of the policy must be attached to this
application.
Required surety bond and fee remittance shall be filed with this application. Fee $100.00 made payable to: Registration Fee Trust
I, the undersigned, certify that the answers and statements on this application are true and correct to the best of my knowledge.
See reverse side. X
(Authorized Dealership Agent, Title) (Date)
Following Applies to First-time Dealer Applicant or
Application for Amended License Because of
Business Relocation or Ownership Change
Proper local officials must sign below, BEFORE submitting this application. All applicants complete section A.
If business is located in a town, complete both sections A and B.
Section A
1. Operation of this dealer business at the location(s) as stated on the reverse side is in accordance with local
zoning regulation.
X
(Signature) (Official Title) (Municipality)
2. Check one box and sign below:
A local permit or license is required and has been issued.
A local permit or license is not required.
X
(Signature) (Official Title) (Municipality)
Section B
County Zoning Approval - required only if business is located in a town.
Operation of this dealer business at the location(s) as stated on the reverse side is in accordance with local zoning
regulation.
X
(Signature) (Official Title) (County)
If business address on reverse side does not include a specific street number, furnish directions to your business location,
including highway numbers or letters and distances.