Form Dr 2658 - License Class Change Application
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1DR 2658 (04/97)
30
COLORADO DEPARTMENT OF REVENUE
MOTOR VEHICLE DEALERS SECTION
LICENSE CLASS CHANGE
DENVER CO 80261-0016
(303) 205-5604
APPLICATION
MAIL TO
INSTRUCTIONS
Please complete this form and return it to the above address with a check payable to the Colorado Department of Revenue. Retail dealers
should attach the two required site photos to the upper left corner of this form.
The fee through June 30, 1998 is $100. Fee is subject to change as of July 1, 1998.
Dealer's Licensed Name
Dealer Number
Business Phone Number
Current Licensed Address
City
State
ZIP
1. I hereby request a change of license class
From:
new
used
wholesale
auction
*attach a copy of your franchise letter(s).
To:
new *
used
wholesale
auction
2. Desired date of change
3a.
Will the licensed location also change?
Yes
No If yes, please indicate new location below and answer b and c.
Street
City
County
State
ZIP
Business Phone Number
(
(
)
)
3b. Is the mailing address different for the new location?
Yes
No If yes, please indicate mailing address
Street
City
State
ZIP
3c. Is the new location owned/leased by the licensed entity.
owned
leased
If leased, from whom (name and address)
Lease expires
NEW/USED/AUCTION DEALERS: Complete this section
4. I certify that the place of business listed above meets or will meet all the following requirements under Dealer Law and Regulation as of
the date of licensing. (A box for each numbered requirement must be checked or the application will be rejected or delayed.)
1.
Permanent enclosed office large enough to accommo-
8.
Repair facilities on premises or
garage contract (copy
date dealer's office
of jointly-signed contract must be submitted)
2.
Books & records stored safely and available for
9.
Used exclusively for dealer business (the office,
inspection at this location
entrance, restroom, and display area cannot be shared
with another business.)
3.
Electrical service
10.
Property owned or
leased
4.
Adequate sanitary facilities (restrooms)
5.
Space to display one or more vehicles
11.
Permanent sign in place or
temporary sign in place
with permanent sign ordered
6.
Hours of operation posted and open at least 3 days
per week for a continuous four hours per day between
12.
Sign displays licensed name (DBA)
8 a.m. and 9 p.m. Please indicate days and hours of
13.
Sign's letters are at least 6 inches high
operation _________________________________
14.
Sign is visible to the major avenue of traffic
7.
Complies with local zoning requirements.
15.
Location photos attached*
*Two photos are requested - a full view of the lot from across the street and a close-up of the office building.
WHOLESALERS: Complete this section
I am applying as a wholesaler and certify that I have the required office to conduct my business at the above location.
(
)
My residence phone number is ______________________________________________
ALL APPLICANTS: Read, sign and date this section
I declare under penalties of perjury in the second degree (Class 1 Misdemeanor) that the above information is true and accurate. I realize that my
place of business is subject to inspection and any false statements regarding the above requirements could subject my license or application to
denial, suspension or revocation. I, as owner, co-partner, LLC member/manager, or corporate officer have authority to sign this request.
Signature (owner, partner, LLC member/manager, or corporate officer)
Title
Printed Name
Date
Effective Date
Process Date
Liability Code
Fee Submitted
For Office
$
2580
Use Only
white copy - License File
canary copy - Compliance
pink copy - Cashier
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