DSD 10A (03/25/2016)
FEES
- First license type is $100 at initial application and renewal
- Each additional license type is $25 at initial application and renewal
- $10 for changes to address, name, or ownership
NOTE: $10 change fee does not apply if adding an additional Auto Recycler
function to an existing Auto Recycler license.
DEALER LICENSE TYPE
AUTO RECYCLER LICENSE TYPE
Auto Recycler - Any person licensed by the Commonwealth to engage in business as a salvage dealer, demolisher, scrap metal processor or rebuilder.
Select applicable Auto Recycler function(s) below:
Demolisher - Will you crush, flatten or otherwise reduce a vehicle to a state where it can no longer be considered a vehicle? . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES NO
Rebuilder - Will you acquire and repair, for use on the public highways, two or more salvage vehicles within a 12-month period?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES NO
Salvage Dealer - Will you acquire any vehicle for the purpose of reselling any parts thereof?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES NO
Scrap Metal Processor - Will you acquire one or more whole vehicles to process into scrap for smelting purposes who, from a fixed location, utilizes machinery
and equipment for processing and manufacturing ferrous and nonferrous metallic scrap into prepared grades, and whose principal product is metallic scrap? . . . .
NOYES
SALVAGE POOL LICENSE TYPE
Salvage Pool - Will you provide a storage service for salvage vehicles or non-repairable vehicles who either displays the vehicles for resale or solicits bids
for the sale of salvage vehicles or non-repairable vehicles? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NOYES
VEHICLE REMOVAL OPERATOR LICENSE TYPE
Vehicle Remover Operator - Will you acquire a vehicle for the purpose of reselling it to a demolisher, scrap metal processor or salvage dealer? . . . . . . . . . . . . . . . . NOYES
Salvage Dealer License
APPLICATION
Purpose: Auto Recycler (Demolisher, Rebuilder, Salvage Dealer, Scrap Metal Processor), Salvage Pool Dealer and Vehicle Removal Operator use this
form to apply for an original license or to change or renew an existing license.
Instructions: Submit completed form, any necessary additional documents and a check for fees made payable to DMV to Dealer Services Division at the
address above.
APPLICATION TYPE
INITIAL/ADDITIONAL LICENSE RENEW INITIAL/ADDITIONAL LICENSE CHANGE - address, name, or ownership
Also submit:
- Form DSD 65 - DEQ permit number
- NMVTIS ID number
Also submit:
- DEQ permit number - NMVTIS ID number
- Zoning self-certification
BRIEFLY DESCRIBE CHANGE
TYPE OF OWNERSHIP (check one)
FULL LEGAL NAME (print) - (last) (first) (middle) (suffix)
APPLICANT INFORMATION
BUSINESS NAME
EMAIL ADDRESS
OWNER SSN OR FEIN
LLCCORPORATIONPARTNERSHIPINDIVIDUAL
DEALER TELEPHONE NUMBER
STREET ADDRESS (P.O. Box is unacceptable)
OWNER TELEPHONE NUMBER
BUSINESS HOURS
SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
AM HOURS
PM HOURS
TRADING AS NAME
STATE IN WHICH INCORPORATED
OWNER/PARTNER/OFFICER INFORMATION
Enter the name, title and residential address for each owner, partner and/or officer of the business identified in this application. Copy this page if additional lines
are needed. Attach completed pages to this application.
NAME TITLE RESIDENTIAL ADDRESS
CURRENT SALVAGE LICENSE NUMBER
CITY
I certify that this application is a renewal and the licensed business location - from which the original license was obtained - is still in compliance with all
applicable local, city or county zoning requirements and/or ordinances.
ZONING COMPLIANCE CERTIFICATION - RENEWALS ONLY
OWNER, PARTNER, OFFICER OF THE BUSINESS NAME (print) SIGNATURE DATE (mm/dd/yyyy)
STATE ZIP CODE
