Fillable Mv2184 Salesperson/ Representative License Application (Wisconsin)

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Mv2184 Salesperson/ Representative License Application (Wisconsin)

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The Mv2184 Salesperson/ Representative License Application (Wisconsin) form is 1 page long and contains:

  • 1 signature
  • 11 check-boxes
  • 41 other fields

Country of origin: US
File type: PDF

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SALESPERSON/REPRESENTATIVE LICENSE APPLICATION
Wisconsin Department of Transportation
MV2184 10/2018 Ch. 218 Wis. Stats.
See instructions and fee schedule on reverse. Complete all sections of the application.
Incomplete applications will not be processed; they will be returned to the employer.
For DMV Office Use Only
Exam Date
Fees Collected
$
License Type – Check One
Motor Vehicle Salesperson
Recreational Vehicle Salesperson
Manufacturer/Distributor Representative
Employer’s Dealer License Number
PMR Number
License Expiration Date
Service Center
Fee Enclosed
$
Badge Number
Your Full Name
Last
First
MI
City
State
Zip Code
Email Address
Gender
Female Male
Birth Date
Height
Weight
Eye Color
Hair Color
Driver License Number or Photo ID Number – If none, indicate “None”
State of License or ID
Social Security Number – For Verification Purposes
Yes
No
Have you been licensed as a salesperson in Wisconsin within the last 5 years? If yes, what year?
Dealer Name
Dealer Number
City
Was similar license ever denied, suspended or revoked in this or any other state? If yes, explain.
Have you ever been convicted or a crime? List all conviction(s) and date(s) or conviction(s).
Are any criminal charges pending against you? List all charge(s) and date(s) or arrest.
List any other names by which you are known.
Last
First
MI
Applicant Statement
I, the undersigned, affirm under penalty of s.946.32 or s.345.17 Wisconsin Statutes, that the answers and statements on this application are true and
correct. I understand that a misstatement on this application or any supporting documents might result in the denial, suspension or revocation of my
salesperson or representative license under Ch. 218 Wisconsin Statutes. I authorize the department or its agent to verify this information.
X
(Applicant) (Date)
To Be Completed By Employer
If this salesperson will work at more than one location, see special instructions for multiple dealerships on reverse.
Dealer/Manufacturer Name
I certify that I have reviewed the above information and request that the
license be issued. I agree to give the applicant appropriate training
BEFORE permitting him/her to transact business. I understand that I am
responsible for the sales or representative practices of this employee and
that his/her actions may be grounds for the denial, suspension or
revocation of my business license.
X
Dealer Number
Street Address
City, State, Zip Code
(Company Officer or Duly Authorized Agent) (Date)
(Area Code) Telephone Number
(Title)
click to sign
signature
click to edit
Instructions
1. To avoid delays in processing, please complete the entire application.
2. Copy the ID Number from your driver license or photo identification card, exactly as it appears on the card.
Include the state which issued the license or ID card. If you do not have a driver license or photo
identification, indicate "NONE".
3. Answer all the yes/no questions; explain all "yes" answers.
4. Sign the application.
5. Have your employer complete the dealer information, including dealer license number and expiration date
at the top of the form. Have the dealer/manufacturer statement signed.
6. See fee schedule below to determine fee. NOTE: An expired license CANNOT be transferred.
7. Submit the completed application and appropriate fee to:
Wisconsin Department of Transportation
Dealer and Agent Section
P.O. Box 7909
Madison, WI 53707-7909
8. Salesperson exams are given at all DMV Service Centers (where you would go to renew your driver
license). See the fee schedule below to determine whether an exam is required. Bring this form and fees
with you to take the exam.
9. If you have questions, please call the Dealer Licensing Unit at (608) 266-1425.
Special Note for Multiple Dealerships
Salespeople can be licensed at more than one dealership if all are under the same majority ownership. Only
one license is required and should be issued at the location where the salesperson works most often. The
license is valid at all other dealership locations.
To access the Sales Manual:
http://wisconsindot.gov/Documents/dmv/shared/salesmanual.pdf
FEE SCHEDULE – Make check payable to Registration Fee Trust
Motor Vehicle Salesperson License
Dealer License
Expires within 12 months
Dealer License
Expires in MORE than 12 months
New application for motor vehicle salesperson license
(Exam required)
$9.00
$13.00
Currently licensed as a motor vehicle salesperson
(Transfer - NOT expired)
No Fee
No Fee
Not currently licensed as a motor vehicle salesperson
License expired within the past 5 years (No exam required)
$4.00
$8.00
Motor vehicle salesperson license expired more than 5 years
(Exam required)
$9.00
$13.00
Exam fee of $5.00 is included in fee schedule when required.
Manufacturer/Distributor Representative
OR RV Salesperson License (NO Exam Required)
Dealer License
Expires within 12 months
Dealer License
Expires in MORE than 12 months
New application for REP or RV sales
$4.00
$8.00
Currently licensed as REP or RV sales
(Transfer - NOT expired)
No Fee
No Fee
Not currently licensed as REP or RV sales
License expired within the past 5 years
$4.00
$8.00
Not currently licensed as REP or RV sales
License expired more than 5 years
$4.00
$8.00
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Mv2184 Salesperson Representative License Application (Wisconsin)

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Completed 12 August 2020

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