D17a (12/17)
5. If you are applying for a New/Used Vehicle Dealer License, pursuant to K.S.A. 8-2430 you must submit a written notice
by Certified Mail to the Director of Vehicles of your intention to add a new line-make at your intended location, You must
also state the date of proposed addition, identify all new vehicle dealers who are franchised to sell same line-make
vehicles in the relevant market area and provide a short statement of evidence in meeting the burden of proof for
establishing the line-make addition. A completed D-100 New Franchise Certification must be filed with the Division
of Vehicles for each franchise agreement in place. All Manufacturers must be licensed with the State of Kansas as a
1
st
/2
nd
Stage Manufacturer in order for the franchise agreements to be approved.
6. If you are applying for a Salvage Vehicle Dealer, pursuant to K.S.A. 244(t), you must submit D-35 KDOT
Certification of Compliance certified by the Kansas Department of Transportation.
7. Have you ever been licensed as a vehicle dealer? Yes No If yes, Year(s) ______________ D# ______________
8. Are you engaged in the vehicle business in any other location? Yes No
If yes, City _________________________________ State ________________ Dealer number __________________
9. Have you ever been denied a dealer license or has your dealer license ever been suspended or revoked, either in this
State or any other? Yes No
If yes, give reason ________________________________________________________________________________
10. In accordance with K.S.A. 8-2410(a)(21), state whether within the five years immediately preceding the date of filing
this application you have been convicted of a felony? Yes No
11. New or used vehicle dealers, wholesalers, brokers, salvage vehicle dealers, first or second stage manufacturers, first
and second stage converters, salvage pool, vehicle recycler, rebuilder, vehicle crusher, scrap metal recycler must
maintain an established place of business to be licensed. “Established place of business” means a building or structure,
other than a building or structure all or part of which is occupied or used as a residence owned either in fee or leased
and designated as an office or place to receive mail and keep records and conduct the routine of business. If such
established place of business or lot is zoned, the correct business address and legal description of the property must be
provided to the zoning authority, and proof that the proposed use complies with the applicable zoning law, ordinance or
resolution must be furnished to the director by the applicant. If no zoning exists agent must indicate below. Any area left
blank will void zoning certification.
This is to notify you that ________________________________________________________________________________________
(Complete Business Name)
located at _____________________________________________________________________________ is in conformance with the
(Address, City, State, Zip)
Zoning ordinances or regulations of the city or county of ___________________________________________ , Kansas.
This location is hereby approved to conduct business at the license of ___________________________________________________ .
(License Type)
No Zoning Applicable (Above must be completed and signed by zoning agent and seal affixed to this document.)
________________________________________________________________
Signature of Zoning Agent Title Date
________________________________________________________________
Address of Zoning Office
________________________________________________________________
City State Zip
________________________________________________________________
Directions to the above location: ________________________________________________________________________________________________
Zoning Office Phone Number Zoning Office Fax Number
Seal of
City or County
Zoning Office
click to sign
signature
click to edit
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