Form Hsmv 84200 - Application For A Temporary "Supplemental" License For An Off-Premises Sale By A Motor Vehicle, Mobile Home Or Recreational Vehicle Dealer

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STATE OF FLORIDA
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
APPLICATION FOR A TEMPORARY "SUPPLEMENTAL" LICENSE
FOR AN OFF-PREMISES SALE BY A MOTOR VEHICLE, MOBILE HOME
OR RECREATIONAL VEHICLE DEALER
Motor Vehicles
Mobile Homes
Recreational Vehicles
New Vehicles Only
Used Vehicles Only
New and Used Vehicles
Recreational Vehicles, section 320.3203(5)a, Florida Statutes, another dealer’s area of sales responsibility for the
same line-make.
Recreation Vehicles, section 320.3203(5)b, Florida Statutes, open point in conjunction with public vehicle show.
Recreational Vehicles, section 320.3203(5)c, Florida Statutes, in conjunction with public vehicle show with over 35
dealers funded by manufacturers.
Date: ___________ Dealer License Number: ______________ Dealer's Phone #: (
)
Dealership's Business Name: _________________________________________________________________
Dealership's Business Address: _______________________________________________________________
County
Street Address
City
State
Zip
Address of Off-Premises Sale: _______________________________________________________________
State
C ounty
Street Address
City
Zip
Name/Telephone # of Dealer Representative:
(
)
(in charge of the sale)
Name
Cell Phone #
OFF-PREMISES SALE TO BEGIN ON ________________________ AND END ON ________________________
AT THE ABOVE DESCRIBED LOCATION
By applying for this Off-Premises Permit, I acknowledge that I understand the following:
•
A records inspection may be conducted at the off-premises location. Access to vehicles being displayed for sale
is required.
•
Indicia of ownership must be available for every vehicle displayed for sale and must be reassigned to the dealer
applying for the off-premises permit.
•
Buyer's guides must be displayed on all vehicles being offered for sale. (Not applicable for Mobile Homes and
Recreational Vehicles)
•
A sign clearly identifying the dealer must be displayed at the location.
•
A dealer representative must be available at the location during the off-premises sale and a designated
representative must be available to the Department (during sale hours) via the telephone number indicated on this
application.
•
If more than one dealer is participating in the off-premises sale, the inventory must be clearly separated.
• Recreational vehicle dealers understand that the off-premise sales must be in compliance with section
320.3203(5) a, b, or c, Florida Statutes.
I understand that failure to comply with the requirements listed above may cause the Department to take action against my
license.
________________________________
________________________
___________________________
Typed/Printed Name of Owner/Officer
Owner/Officer's Title
Owner/Officer's Signature
HSMV 84200 (Rev. 08/14)

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