Fillable Michigan Vehicle Dealer Closeout Statement Form printable pdf download

Michigan Vehicle Dealer Closeout Statement Form

Download a blank fillable Michigan Vehicle Dealer Closeout Statement Form in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Michigan Vehicle Dealer Closeout Statement Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

Clear Form

Lansing, Michigan 48918

MICHIGAN VEHICLE DEALER CLOSEOUT STATEMENT

I, ________________________________________________________________ as _________________________________________

(Name)

(Title)

of ____________________________________________________________________ , hereby certify that I have discontinued

(Name of Dealership)

business as a Michigan Vehicle Dealer, under Dealer License No. ______________ , effective _____________________ .

(Date)

I further certify that I have disposed of all vehicles that were in our inventory under this license. These have been:

Sold at retail; and/or

Sold at wholesale; and/or

Titled and registered to me with the proper

amount of sales tax paid.

I further certify that I have surrendered:

My dealer wall license; and

All dealer plates (listed below) assigned under this

license; and

All remaining temporary registrations.

These have been surrendered to the following representative of the Michigan Department of State:

The Secretary of State branch office located at _____________________________________ on _____________ .

(Location)

(Date)

Bureau of

Investigator

________________________________ on ____________ .

(Name of Investigator)

(Date)

The Bureau of

, Lansing, Michigan on

__________________ .

(Date)

List below all dealer plates that were assigned to your dealership and have been surrendered to the above

I am presently unable to locate plate number(s) ______________________________________________________________ .

These dealer plates will be surrendered immediately to the Department of State, should they be recovered. I

certify that I have reported these plates as lost or stolen to a local police agency.

My records will be available for inspection at _______________________________________________________________ .

(Address)

(City)

I certify that I am surrendering my dealer license as of this date, and that all the statements I have made herein are true and

accurate to the best of my knowledge. I further certify I understand that, according to Section 257.248 of the Michigan Vehicle

Code, selling 5 or more vehicles in a calendar year meets the definition of a dealer. A fine of $5,000 for a first offense and

$7,500 for a second offense of selling vehicles without a dealer license can be imposed for acting as a dealer without an

active Michigan vehicle dealer license.

Signed, X _________________________________________________________________

_____________________

(Signature and Title)

(Date)

(Rev.

)

Michigan Vehicle Dealer Closeout Statement Form

Related Articles

Related forms

Related Categories